| Regimental number | 65582 |
| Occupation | Plumber |
| Next of kin | Mother, Mrs Alice Ford, 322 Victoria Avenue, Wanganui |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 99 Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 13 |