| Regimental number | 76936 |
| Occupation | Timber worker |
| Next of kin | Sister, Miss B Gillingham, 97 Christchurch Street, Boscombe, Hants, England |
| 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 |
| Sources | Nominal Rolls Vol. 4: Roll 86, p. 14 |