| Regimental number | 13/2050 |
| Address | c/o Matian, Milford Road, Takapuna |
| Marital status | Single |
| Next of kin | Mother, Mrs A Black, Kia Ora, Mondure Estate, Wondai, Queensland, Australia |
| Rank on embarkation | Lance Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Auckland Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board Tofua on |
| Miscellaneous details | Nominal Roll Vol. 1: Auckland Mounted Rifles/Sixth |