| Regimental number | 34786 |
| Occupation | Cook |
| Next of kin | Wife, Mrs R B Adams, c/o Freezing Works, Makarewa, Southland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (2nd Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Athenic on |
| Sources | Nominal Roll Vol. 2: Roll 49, p. 4 |