| Regimental number | 11260 |
| Occupation | Packman |
| Next of kin | Mother, Mrs Miriam Edmunds, Sebastopol Farm, Bedwas, Monmouthshire, Wales |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (1st Draft), Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Ulimoroa on |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 13 |