| Regimental number | 9/991 |
| Address | Whakatane |
| Marital status | Widowed |
| Next of kin | Daughter, Miss V A Back, Buckland Filleigh, Devonshire, England |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 3rd Reinforcements, Canterbury Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on board HMNZT 19 Apimara on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Mounted Rifles/Third |