| Regimental number | 6/3623 |
| Occupation | Tanner |
| Next of kin | Brother, O V Bergh, Rawson Street New Brighton |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board SS Maunganui on |
| Sources | Nominal Roll Vol. 2: Roll 21, p. 23 |