| Regimental number | 3/302 |
| Address | Dunedin |
| Marital status | Single |
| Next of kin | Father, Dr Church, High Street, Dunedin |
| 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 |
| Medals |
Military Medal 'At the landing at Anzac and in the fighting on 7/8th August 1915 displayed conspicuous gallantry in attending to wounded under fire.'
Source: London Gazette Date: |
| Miscellaneous details | Nominal Roll Vol. 1: Ambulance/Main Body |