| Regimental number | 21219 |
| Occupation | Carter |
| Next of kin | Sister, Miss Celstine Conway, Inkerman Street, Freemans Bay, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from New Zealand on board Aparima on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 7 |