| Regimental number | 49536 |
| Occupation | Slaughterman |
| Next of kin | Wife, Mrs Ada Gray, Granity, Westport |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (First Draft), Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 87 Tahiti on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 17 |