| Regimental number | 11638 |
| Occupation | Labourer |
| Next of kin | Sister, Miss Phyllis Philips, Route No 2, Box 104, Sutton, Massachusetts, USA |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (1st Draft), Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 9 |