| Regimental number | 11242 |
| Occupation | Driver |
| Next of kin | Mother, Mrs Coy, 8 Ada Street, Palmerston North |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (1st Draft), Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Ulimoroa on |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 12 |