| Regimental number | 61653 |
| Occupation | Clerk |
| Next of kin | Father, A R Jack, Rose Bank, Balclutha, Otago |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 30th Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 93 Corinthic on |
| Sources | Nominal Roll Vol. 3: Roll 72, p. 19 |