| Regimental number | 9/1836 |
| Occupation | Shoemaker |
| Next of kin | Wife, Mrs R V Fordham, 218 Cuba Street, Wellington |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 42nd Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 109 Tofua on |
| Harbour records indicate that the actual date of sailing was 2 August 1918. | |
| Sources | Nominal Rolls Vol. 4: Roll 88, p. 3 |