| Regimental number | 47693 |
| Occupation | Bushman |
| Next of kin | Mother, Mrs M Adams, Papatowai, Otago |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 26th Reinforcements (1st Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 85 Willochra on |
| Date of death | |
| Age at death | 81 |
| Place of burial | Owaka Cemetery |
| Sources | Nominal Roll Vol. 3: Roll 66, p. 13 |