| Regimental number | 3/2195 |
| Occupation | Hosp attendant |
| Next of kin | Sister, Mrs Page, Elm Cottage, Dorking Road, Ashtead, Surrey, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 13th Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 33, p. 24 |