| Regimental number | 10/1057 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs Mary Cook, 51 Millhill Grove, Acton, London, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (First Draft), F Company (Part) |
| Embarkation details | Unit embarked from Wellington on board HMNZT 86 Maunganui on |
| Other details | Ex Main Body |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 26 |