| Regimental number | 69764 |
| Occupation | Bushman |
| Next of kin | Mother, Mrs M Flavell, Canada Street, Mount Eden, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 34th Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 100 Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 78, p. 14 |