| Regimental number | 3/2697 |
| Occupation | Timber yardman |
| Next of kin | Wife, Mrs Janet M Buckett, 9 Stewart Street, Christchurch |
| Rank on embarkation | Corporal |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on 19 January 1917 |
| The members of the New Zealand Medical Corps attached to the 21st Reinforcements departed on two ships, 'Waitemata' and 'Ulimaroa', on 19 January 1917. It is not possible from the Nominal Roll to determine on which ship an individual embarked. |
| Sources | Nominal Roll Vol. 3: Roll 65, p. 1 |