| Regimental number | 30763 |
| Occupation | Seedsman |
| Next of kin | Mother, Mrs E C Clist, 7 Cameron Street, Devonport, Auckland |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 108 Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 11 |