| Regimental number | 1/528 |
| Occupation | Civil servant |
| Next of kin | Mother, Mrs G Black, Irvine Street, Lawrence, Otago |
| Rank on embarkation | Sergeant Major |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (1st Draft), Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board Port Lyttelton on |
| Harbour records indicate that the actual date of sailing was 8 December 1916. | |
| Other details | Ex Samoan Advance |
| Sources | Nominal Roll Vol. 2: Roll 47, p. 4 |