| Regimental number | 17613 |
| Occupation | Clerk |
| Next of kin | Mother, Mrs M F Blackmore, 18 Hereford Street, Christchurch |
| Rank on embarkation | Gunner |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (2nd Draft), New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board HMNZT 73 Opawa on |
| Sources | Nominal Roll Vol. 2: Roll 49, p. 18 |