| Regimental number | 81428 |
| Occupation | Bushman |
| Next of kin | Wife, Mrs L Cockerill, Blackwater, West Coast |
| Rank on embarkation | Private |
| 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. 12 |