| Regimental number | 74421 |
| Occupation | PO employee |
| Next of kin | Mother, Mrs S M Cook, Craigie Avenue, Timaru |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 107 Tahiti on |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 4 |