| Regimental number | 17591 |
| Occupation | Farmer |
| Next of kin | Mother, Mrs A Dawson, Rahotu, Taranaki |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, New Zealand Mounted Rifles Brigade |
| Embarkation details | Unit embarked from Wellington on board HMNZT Moeraki on |
| Sources | Nominal Roll Vol. 3: Roll 54, p. 1 |