| Regimental number | 49374 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs N Fuller, 159 Maitland Street, Dunedin |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (First Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 87 Tahiti on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 19 |