| Regimental number | 21/42 |
| Occupation | Civil servant |
| Next of kin | Father, M J Bernard, 87 Freyberg Street, Lyall Bay, Wellington |
| Rank on embarkation | 2nd Lieutenant |
| Unit name | New Zealand Expeditionary Force, 38th Reinforcements, B Company |
| Embarkation details | Unit embarked from New Zealand on board HMNZT No 105 Remuera on |
| Other details | Ex Samoan Advance and 11th Reinforcements |
| Sources | Nominal Rolls Vol. 4: Roll 83, p. 6 |