| Regimental number | 61137 |
| Occupation | Draper |
| Next of kin | Father, J Hay, Stevenson Street, Blenheim |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 30th Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 93 Corinthic on |
| Sources | Nominal Roll Vol. 3: Roll 72, p. 11 |