| Regimental number | 21812 |
| Occupation | Farmer |
| Next of kin | Mother, Mrs Ann Frisby, 46 Gammack Street, Temuka |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 7th Reinforcements to 3rd Battalion, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 62 Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 34 |