| Regimental number | 39209 |
| Date of birth | |
| Occupation | Farmer |
| Next of kin | Mother, Mrs Bridget Forde, Te Tua via Orepuki, Southland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 76 Aparima on |
| Date of death | |
| Place of burial | Invercargill (Eastern) Cemetery |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 13 |