| Regimental number | 3/4271 |
| Occupation | Joiner |
| Next of kin | Wife, Mrs Ellen Everitt, 123 Upper Willis Street, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, Hospital Ship No 2 'Marama', 4th Charter, 6th Sailing, New Zealand Medical Corps |
| Embarkation details | Unit embarked from New Zealand on board HS Marama on |
| Sources | Nominal Rolls Vol. 4: Roll 84, p. 4 |