| Regimental number | 84610 |
| Place of birth | Australia |
| Occupation | Baker |
| Next of kin | Sister, Mrs R A Green, c/o Post Office, Mangapapa, Gisborne |
| Rank on embarkation | Private |
| Unit name | Miscellaneous Embarkation, Samoan Reinforcements |
| Embarkation details | Unit embarked from Auckland on board SS Talune on |
| Sources | Nominal Rolls Vol. 4: Roll 90, p. 23 |