| Regimental number | 490 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Victoria Avenue, Chatswood, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Elizabeth Blackadder, Victoria Avenue, Chatswood, New South Wales |
| Enlistment date | 31 October 1915 |
| Rank on enlistment | Driver |
| Unit name | 36th Battalion, B Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Regimental number from Nominal Roll | 490A |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Division Train |
| Fate | Returned to Australia 11 May 1919 |