| Regimental number | 10303 |
| Occupation | Storeman |
| Next of kin | Father, William Blake, 30 Bay Road, Kilbirnie, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (2nd Draft), Wellington Infantry Battalion, J Company |
| Embarkation details | Unit embarked from Wellington on board Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 8 |