| Regimental number | 74360 |
| Place of birth | Australia |
| Occupation | Horse driver |
| Next of kin | Friend, Mrs F Omerod, 122 Taranaki Street, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 40th Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 107 Tahiti on |
| Other details | Failed to re embark at Albany July 1918 |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 14 |