| Regimental number | 3/1117 |
| Address | Tuakau, Auckland |
| Marital status | Married |
| Next of kin | Wife, Mrs Cheeseman, Tuakau, Auckland |
| Rank on embarkation | Captain |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 7th Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Medical Corps/Seventh |