| Regimental number | 3/248 |
| Address | c/o A Brett, Greenwood Street, Auckland |
| Marital status | Single |
| Next of kin | Mrs G H Goss, 192 Brettenham Road, Walthamstow, Essex, England |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1 |