| Regimental number | 80593 |
| Occupation | Coal miner |
| Next of kin | Brother, J Black, Kaitangata, Otago |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 42nd Reinforcements, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Tofua on |
| Harbour records indicate that the actual date of sailing was 2 August 1918. | |
| Sources | Nominal Rolls Vol. 4: Roll 88, p. 7 |