| Regimental number | 67622 |
| Occupation | Carpenter |
| Next of kin | Wife, Mrs H T Fletcher, 28 Church Street, Devonport, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 36th Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Willochra on |
| Sources | Nominal Rolls Vol. 4: Roll 81, p. 5 |