| Regimental number | 64630 |
| Occupation | Contractor |
| Next of kin | Mother, Mrs Mary Evans, 74 Victoria Street, Lewisham, Sydney, New South Wales, Australia |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 32nd Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 96 Maunganui on |
| Sources | Nominal Roll Vol. 3: Roll 75, p. 32 |