| Regimental number | 33681 |
| Occupation | Shepherd |
| Next of kin | Mother, Mrs R K Black, Annat, Canterbury |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 11 |