| Regimental number | 42987 |
| Occupation | Labourer |
| Next of kin | Mother, Mrs J Grey, Whatawhata Road, Frankton Junction |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, Mounted Rifles Brigade, 28th Reinforcements |
| Embarkation details | Unit embarked from Wellington on board Westralia on |
| Sources | Nominal Roll Vol. 3: Roll 64, p. 6 |