| Regimental number | 12805 |
| Occupation | Joiner |
| Next of kin | Son, Samuel Loan Jr, c/o Mrs James Allen, Pask Head, Glasgow, Scotland |
| Rank on embarkation | Gunner |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board HMNZT 61 Aparima on |
| Other details | Ex 13th Reinforcements |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 22 |