| Regimental number | 30758 |
| Occupation | Driver |
| Next of kin | Wife, Mrs R M Clifton, 36 Hinemoa Road, Grey Lynn, Auckland |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, H Company (Second Part) |
| Embarkation details | Unit embarked from Wellington on board HMNZT 86 Maunganui on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 33 |