| Regimental number | 27004 |
| Occupation | Traveller |
| Next of kin | Mother, Mrs S R Evans, 171 Cromwell Road, South Kensington, London |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board Pakeha on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 11 |