| Regimental number | 55718 |
| Occupation | Rabbiter |
| Next of kin | Mother, Mrs M Blackmore, 2 Filleul Street, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (Second Draft), Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 90 Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 26 |