| Regimental number | 21659 |
| Occupation | Carrier |
| Next of kin | Mother, Mrs E Coombs, 9 Sandyford Street Sydenham Christchurch |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 62 Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 13 |