| Regimental number | 47696 |
| Occupation | Waterside worker |
| Next of kin | Wife, Mrs J J Bain, 10 Albany Street, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 26th Reinforcements (1st Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 85 Willochra on |
| Sources | Nominal Roll Vol. 3: Roll 66, p. 13 |