| Regimental number | 3/134A |
| Address | 172 North Avon Road, Richmond |
| Marital status | Single |
| Next of kin | Mrs Hewitt, c/o Mrs Petrie 172 North Avon Road, Richmond, Christchurch |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Ambulance |
| Embarkation details | Unit embarked from Wellington on board Star of India on |
| Miscellaneous details | Nominal Roll Vol. 1: Ambulance/Main Body |