| Regimental number | 3/91A |
| Address | c/o M J Hartigan 56 North Avon Road, Richmond, Christchurch |
| Marital status | Single |
| Next of kin | Father, M C Hartigan, 56 North Avon Road, Richmond, Christchurch |
| 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 |