| Regimental number | 39410 |
| Occupation | Boilermaker |
| Next of kin | Mother, Mrs R A Grace, 5 Grey Street, Musselburgh, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, Specialist Company, Machine Gun Section |
| Embarkation details | Unit embarked from Wellington on board HMNZT Corinthic on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 25 |