| Regimental number | 80746 |
| Occupation | Mechanician |
| Next of kin | Wife, Mrs F A Cook, 173 Main Road, Wadestown, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 4 |