| Regimental number | 3/1227 |
| Address | Manchester St Christchurch |
| Marital status | Single |
| Next of kin | Friend, O B Pemberton, Canterbury Hall Elmwood West St St Albans Christchurch |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 7th Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Medical Corps/Seventh |