| Regimental number | 74696 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs E Fricker, Black Point, Georgetown |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 38th Reinforcements, A Company |
| Embarkation details | Unit embarked from New Zealand on board HMNZT No 105 Remuera on |
| Sources | Nominal Rolls Vol. 4: Roll 83, p. 4 |