| Regimental number | 3/3455 |
| Occupation | Draper's assistant |
| Next of kin | Mother, Mrs Mary Catherine Dobbs, 250 Salisbury Street, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (First Draft), New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on board HMNZT 89 Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 19 |