| Regimental number | 17790 |
| Place of birth | Australia |
| Occupation | Labourer |
| Next of kin | Mother, Mrs P Keating, 14 Caerleon Crescent, Sydney, New South Wales, Australia |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 99 Athenic on |
| Other details | Ex 15th Reinforcements |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 11 |