| Regimental number | 69473 |
| Occupation | Hairdresser |
| Next of kin | Mother, Mrs M Des Forges, Domett Street, Opunake |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 34th Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 100 Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 78, p. 10 |