| Regimental number | 3/2159 |
| Occupation | Dispenser |
| Next of kin | Mother, Mrs S M Clotworthy, Te Teko, via Rotorua |
| 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 |