| Regimental number | 16688 |
| Occupation | Labourer |
| Next of kin | Guardian, David Domett, c/o Mrs A Domett Snr, Okahukara near Taumarunui |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, 21sr Reinforcements, Mounted Rifles Brigade |
| Embarkation details | Unit embarked from Wellington on board Manuka on |
| Sources | Nominal Roll Vol. 3: Roll 53, p. 2 |