| Regimental number | 69918 |
| Occupation | Draper |
| Next of kin | Wife, Mrs C M Forrester, c/o Mrs Manning, Sawyer's Bay, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 36th Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Willochra on |
| Sources | Nominal Rolls Vol. 4: Roll 81, p. 9 |