| Regimental number | 30685 |
| Occupation | Driver |
| Next of kin | Wife, Mrs Rachel Couchman, 13 Cuba Street Petone Wellington |
| Rank on embarkation | Driver |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, Army Service Corps |
| Embarkation details | Unit embarked from Wellington on board HMNZT 76 Aparima on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 24 |