| Regimental number | 47417 |
| Occupation | Labourer |
| Next of kin | Wife, Mrs Jane Forsyth, 29 Major Street, Liverpool, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 25th Reinforcements, Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Turakina on |
| Sources | Nominal Roll Vol. 3: Roll 62, p. 8 |