| Regimental number | 3/2558 |
| Occupation | Bank clerk |
| Next of kin | Sister-in-law, Mrs Lillian Kibblewhite, Gordon Street, Dannevirke |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, Hospital Ship No 2 'Marama', 4th Charter, 6th Sailing, New Zealand Medical Corps |
| Embarkation details | Unit embarked from New Zealand on board HS Marama on |
| Other details | Ex HS Marama (Second Charter First And Second Sailings) |
| Sources | Nominal Rolls Vol. 4: Roll 84, p. 4 |