| Regimental number | 8/3601 |
| Occupation | Bushman |
| Next of kin | Mother, Mrs E S Jenson, 41 Featherston Street, Palmerston North |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board SS Maunganui on |
| Sources | Nominal Roll Vol. 2: Roll 21, p. 30 |