| Regimental number | 34004 |
| Occupation | Farm hand |
| Next of kin | Mother, Mrs Isabel Bain, 84 Arthur Street, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 24th Reinforcements (2nd Draft), Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 82 Pakeha on |
| Embarked, 14 April 1917; disembarked, 18 April 1917; left New Zealand, 26 April 1917. | |
| Sources | Nominal Roll Vol. 3: Roll 60, p. 4 |