| Regimental number | 3/777 |
| Occupation | Baker and cook |
| Next of kin | Sister, Miss Mabel Goldsmith, Wairoa Hotel, Wairoa, Hawke's Bay |
| Rank on embarkation | Sergeant |
| 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 |
| Other details | Returning to Duty |
| Sources | Nominal Rolls Vol. 4: Roll 84, p. 3 |