| Regimental number | 40910 |
| Occupation | Warehouseman |
| Next of kin | Mother, Mrs M E Densem, 48 Jackson Street, St Kilda, Dunedin |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ruapehu on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 13 |