| Regimental number | 40195 |
| Place of birth | Australia |
| Occupation | Plumber |
| Next of kin | Mother, Mrs Julia Dominick, Allison Street, North Goulburn, New South Wales, Australia |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Corinthic on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 11 |