| Regimental number | 64904 |
| Occupation | Shepherd |
| Next of kin | Mother, Mrs E Bain, Kimbell, Canterbury |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 34th Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 100 Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 78, p. 13 |