| Regimental number | 39025 |
| Occupation | Brigade fireman |
| Next of kin | Wife, Mrs M Collins, 252 Bealey Avenue, Christchurch |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ruapehu on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 13 |