| Regimental number | 68929 |
| Occupation | Clerk |
| Next of kin | Father, W Black, Waikaka, Southland |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 35th Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 101 Tofua on |
| Sources | Nominal Rolls Vol. 4: Roll 80, p. 6 |