| Regimental number | 10804 |
| Occupation | House decorator |
| Next of kin | Mother, Mrs Della Fisher, 64 Washington Valley, Nelson |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 92 Ruahine on |
| Sources | Nominal Roll Vol. 3: Roll 70, p. 28 |