| Regimental number | 70904 |
| Occupation | Confectioner |
| Next of kin | Mother, Mrs M L Fazackerley, 16 Tilford Street, Woolston, Christchurch |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 7 |