| Regimental number | 59875 |
| Occupation | Grocer |
| Next of kin | Wife, Mrs G Fort, Moura Street, Matamata |
| Rank on embarkation | Corporal |
| Unit name | New Zealand Expeditionary Force, 30th Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 95 Arawa on |
| Sources | Nominal Roll Vol. 3: Roll 72, p. 16 |