| Regimental number | 69136 |
| Occupation | Warehouseman |
| Next of kin | Mother, Mrs J Slowley, 10 Stonelaw Terrace, Maori Hill, Dunedin |
| Rank on embarkation | Private |
| 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 |
| Sources | Nominal Rolls Vol. 4: Roll 84, p. 4 |