| Regimental number | 36569 |
| Occupation | Salesman |
| Next of kin | Mother, Mrs Elizabeth Smith, 4 Kensington Avenue, Anderson's Bay, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 17 |