| Regimental number | 9/1059 |
| Address | Crookston |
| Marital status | Single |
| Next of kin | Father, John Jack, Bay View Road, Musselburgh, Dunedin |
| Rank on embarkation | Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Otago Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on |
| Members of the 5th Reinforcement, Otago Mounted Rifles Regiment, departed New Zealand on board two ships, HMNZT 7 'Limerick' and HMNZT 10 'Arawa'. It is not possible from the Nominal Roll to determine on which ship an individual embarked. | |
| Final rank | Farrier |
| Final unit | Otago Mounted Rifles Regiment |
| Fate | Died of wounds |
| Place of burial | Bailleul Communal Cemetery Extension (Nord) (Plot III, Row C, Grave No 148), France |
| Miscellaneous information from cemetery records | Parents: Mr & Mrs John Jack, Bay View Road, Musselburgh, Dunedin |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Mounted Rifles/Fifth |