| Regimental number | 18981 |
| Occupation | Miner |
| Next of kin | Wife, Mrs Ann Forbes, Round Hill, Southland |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 6th Reinforcements to 4th Battalion, H Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 35 |