| Regimental number | 19/393 |
| Occupation | Waterside worker |
| Next of kin | Wife, Mrs Agnes A Keefe, 14 Elizabeth Street, Auckland |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements (Second Draft), J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 90 Ulimaroa on |
| Other details | Ex Samoan Relief |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 36 |