| Regimental number | 3/108 |
| Address | School Street, Kaikorai, Dunedin |
| Marital status | Single |
| Next of kin | Mrs Margaret S Love, 9 Hayes Street, Brooklyn, Wellington |
| Rank on embarkation | Lance Corporal |
| 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 |