| Regimental number | 27768 |
| Occupation | Storeman |
| Next of kin | Mother, Mrs A S Cook, Johnsonville, Wellington |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 8th Reinforcements to 3rd Battalion, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 65 Pakeha on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 34 |