| Regimental number | 3/3803 |
| Occupation | Draper's assistant |
| Next of kin | Mother, Mrs Mary Keating, 9 William Street, Greymouth |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 34th Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on board HMNZT 100 Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 78, p. 19 |