| Regimental number | 3/803 |
| Occupation | Bank clerk |
| Next of kin | Mother, Mrs C T Rout, 133 Abel Smith Street, Wellington |
| Rank on embarkation | Sergeant |
| 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 Maheno and Ex Hs Marama Second Charter First and Second Sailings |
| Sources | Nominal Rolls Vol. 4: Roll 84, p. 3 |