| Regimental number | 41743 |
| Occupation | Shearer |
| Next of kin | Mother, Mrs B Anderson, c/o Mrs A B Anderson, Kodak Studio, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 79 Ruapehu on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 8 |