| Regimental number | 56421 |
| Occupation | Farmer |
| Next of kin | Mother, Mrs Jane Fortune, Orepuke |
| Rank on embarkation | Sapper |
| Unit name | New Zealand Expeditionary Force, New Zealand Engineer Tunnelling Company, 7th Reinforcements |
| Embarkation details | Unit embarked from Wellington on board HMNZT 96 Maunganui on |
| Sources | Nominal Roll Vol. 3: Roll 75, p. 49 |