| Regimental number | 7/627 |
| Occupation | Miner |
| Next of kin | Wife, Mrs E J McCoy, c/o Mr J A Adams, Greendale, Canterbury |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, New Zealand Mounted Rifles, 15th Reinforcements |
| Embarkation details | Unit embarked from Wellington on board Manuka on |
| Other details | Ex Main Body |
| Sources | Nominal Roll Vol. 2: Roll 35, p. 3 |