| Regimental number | 30770 |
| Occupation | Packer |
| Next of kin | Wife, Mrs E C Derig, c/o Stones Boot-store Devonport Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (2nd Draft), E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Opawa on |
| Sources | Nominal Roll Vol. 2: Roll 49, p. 7 |