| Regimental number | 40201 |
| Occupation | Shepherd |
| Next of kin | Father, T Flower, Canvastown, Marlborough |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 78 Navua on |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 11 |