| Regimental number | 3/449 |
| Address | 45 Ferguson Street, Palmerston North |
| Marital status | Married |
| Next of kin | Wife, Mrs Ivy Stevens, c/o Mrs S Milner, Post Office, Palmerston North |
| Rank on embarkation | Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 2nd Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Medical Corps/Second |