| Regimental number | 5/190 |
| Occupation | Clerk |
| Next of kin | Wife, Mrs F L Dawes, Hotel Windsor, Durban, Natal, South Africa |
| Rank on embarkation | Private |
| Unit name | Miscellaneous Embarkations, Samoan Relief |
| Embarkation details | Unit embarked from New Zealand on board SS Talune on |
| Other details | Ex Samoan Relief |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 24 |