| Regimental number | 24239A |
| Occupation | Inspector |
| Next of kin | Wife, Mrs A Blackburn, c/o Fred Retter, Pukerimu, Cambridge, Waikato |
| Rank on embarkation | Sergeant Major |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 64 Devon on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 17 |