| Regimental number | 3/812 |
| Occupation | Stereotyper |
| Next of kin | Mother, Mrs H Tidy, 82 Wanstead Park Road, Ilford, Essex, England |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 13th Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on |
| Other details | Ex Hospital Ship No1 Maheno |
| Sources | Nominal Roll Vol. 2: Roll 33, p. 24 |