| Regimental number | 3/111A |
| Address | Christchurch Fire Brigade |
| Marital status | Married |
| Next of kin | Wife, Mrs Emily Bennett, c/o GPO, Wellington |
| Rank on embarkation | Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Ambulance |
| Embarkation details | Unit embarked from Wellington on board Star of India on |
| Miscellaneous details | Nominal Roll Vol. 1: Ambulance/Main Body |