| Regimental number | 17581 |
| Occupation | Printer |
| Next of kin | Mother, Mrs J Jarvis, Brunswick Street, Hastings |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 21sr Reinforcements, Mounted Rifles Brigade |
| Embarkation details | Unit embarked from Wellington on board Manuka on |
| Sources | Nominal Roll Vol. 3: Roll 53, p. 1 |