| Regimental number | 3/2563 |
| Occupation | School teacher |
| Next of kin | Father, H C Small, New North Road, Auckland |
| 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 |
| Other details | Ex Hs Marama (Second Charter First And Second Sailings) |
| Sources | Nominal Rolls Vol. 4: Roll 84, p. 4 |