| Regimental number | 61942 |
| Occupation | Clerk |
| Next of kin | Mother, Mrs C Dornwell, 57 Colombo Road, Masterton |
| Rank on embarkation | 2nd Lieutenant |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 107 Tahiti on |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 3 |