| Regimental number | 46123 |
| Occupation | Confectioner |
| Next of kin | Wife, Mrs N P Douglas, Te Kuiti |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 25th Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Tofua on |
| Sources | Nominal Roll Vol. 3: Roll 62, p. 16 |