| Regimental number | 41520 |
| Occupation | Cook |
| Next of kin | Wife, Mrs Edith Maud Faulkner, Clarehaven, 60 Wright Street, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 24th Reinforcements (2nd Draft), F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 82 Pakeha on |
| HMNZT 'Pakeha' embarked 14 April 1917; disembarked 18 April 1917; re-embarked and left New Zealand, 26 April 1917. | |
| Sources | Nominal Roll Vol. 3: Roll 60, p. 8 |