| Regimental number | 13517 |
| Occupation | Draper |
| Next of kin | Mother, Mrs M Cousins, 4 Miller Street, Palmerston North |
| Rank on embarkation | Driver |
| Unit name | New Zealand Expeditionary Force, 13th Reinforcements, New Zealand Army Service Corps |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Sources | Nominal Roll Vol. 2: Roll 33, p. 20 |