| Regimental number | 3/2569 |
| Occupation | Surgeon |
| Next of kin | Wife, Mrs A M Russell, c/o T G Russell, Papanui Road, Christchurch |
| Rank on embarkation | Captain |
| 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. 3 |