| Regimental number | 53699 |
| Occupation | Clerk |
| Next of kin | Mother, Mrs D R Hay, 26 Yaldhurst Road, Riccarton, Christchurch |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Rifle Brigade, Reinforcements, G Company (Part) |
| Embarkation details | Unit embarked from Wellington on board HMNZT 87 Tahiti on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 39 |