| Regimental number | 11/2016 |
| Occupation | Farrier |
| Next of kin | Mother, Mrs R Adams, Swinburn Street, Dannevirke |
| Rank on embarkation | Corporal |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, Wellington Mounted Rifles, B Squadron |
| Embarkation details | Unit embarked from Wellington on board SS Maunganui on |
| Date of death | |
| Place of burial | Hamilton Cemetery |
| Sources | Nominal Roll Vol. 2: Roll 21, p. 4 |