| Regimental number | 48175 |
| Occupation | Flax hand |
| Next of kin | Mother, Mrs Martha Coy, Ada Street Palmerston North |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 82 Pakeha on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 36 |