| Regimental number | 12/3634 |
| Occupation | Labourer |
| Next of kin | Father, N Faithful, Waipapa, Bay of Islands |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 37 SS Maunganui on |
| Sources | Nominal Roll Vol. 2: Roll 21, p. 15 |