| Regimental number | 72096 |
| Occupation | Shop assistant |
| Next of kin | Mother, Mrs A Cooke, 269 Moorhouse Avenue Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 37th Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 103 Maunganui on |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 5 |