| Regimental number | 6/2036 |
| Address | 196 Cashel Street, Christchurch |
| Marital status | Single |
| Next of kin | Mother, Mrs Annie Blackwell, Kaiapoi |
| Rank on embarkation | Sergeant |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Canterbury Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Infantry Batln/Fifth |