| Regimental number | 74010 |
| Occupation | Cabinetmaker |
| Next of kin | Mother, Mrs Fanny Black Snr, Victoria Street, Cambridge |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 37th Reinforcements, D Company |
| Embarkation details | Unit embarked from Wellington on board SS Ionic on |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 17 |