| Regimental number | 3/51 |
| Occupation | Grocer |
| Next of kin | Father, John Falk, 33 Michael Street, Masterton |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Aparima on |
| Other details | Ex Samoan Advance |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 8 |