| Regimental number | 68516 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs C Coulbeck, Rhodes Street Waimate |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 35th Reinforcements, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Tofua on |
| Sources | Nominal Rolls Vol. 4: Roll 80, p. 12 |