| Regimental number | 3/116 |
| Address | Knight Street, Hastings |
| Marital status | Single |
| Next of kin | Mother, Mrs Margaret Halse, c/o Mrs Sligo, Domain Drive, Parnell, Auckland |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1 |