| Regimental number | 11639 |
| Occupation | Driver |
| Next of kin | Mother, Mrs Elizabeth Fox, 63 Darwin Street, Sydenham, Christchurch |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (1st Draft), Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 8 |