| Regimental number | 3/1239 |
| Address | Wellington Hospital |
| Marital status | Single |
| Next of kin | Miss R Myers, c/o Booth, McDonald & Co Limited, Christchurch |
| Rank on embarkation | Captain |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 13th Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Medical Corps/Seventh |