| Regimental number | 33840 |
| Occupation | Timber worker |
| Next of kin | Wife, Mrs M Cousins, c/o Mrs E A Cain, Gordonton, Waikato |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 74 Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 5 |