| Regimental number | 15504 |
| Place of birth | Australia |
| Occupation | Cook |
| Next of kin | Sister, Mrs Julian McInnis, Matong, New South Wales, Australia |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 15th Reinforcements (1st Draft), Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 8 |