| Regimental number | 17759 |
| Occupation | Sawyer |
| Next of kin | Daughter, Mrs John Pay, Nightcaps Southland |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 6th Reinforcements to 4th Battalion, H Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 34 |