| Regimental number | 3/3023 |
| Occupation | Tinsmith |
| Next of kin | Mother, Mrs Janet Black, 106 St Andrew Street, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 25th Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington |
| New Zealand Expeditionary Force, 25th Reinforcements, New Zealand Medical Corps left New Zealand on board two ships, HMNZT 'Tofua' and HMNZT 'Turakina', both on 26 April 1917. It is not possible from the Nominal roll to determine on which ship an individual member of the Medical Corps embarked. |
| Sources | Nominal Roll Vol. 3: Roll 62, p. 27 |
