| Regimental number | 13/2759 |
| Occupation | Bushman |
| Next of kin | Father, Edward Douglas, Okauia, Matamata |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, Auckland Mounted Rifles, A Squadron |
| Embarkation details | Unit embarked from Wellington on board HMNZT 37 Maunganui on |
| Sources | Nominal Roll Vol. 2: Roll 21, p. 1 |