| Regimental number | 1025 |
| Place of birth | Launceston England |
| Religion | Church of England |
| Occupation | Stamp dealer |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs Fanny Blake, Terrace Street, Palmerston North, New Zealand |
| Enlistment date | 18 November 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Naval and Military Expeditionary Force, Army Medical Corps |
| AWM Embarkation Roll number | 23/112/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on 13 June 1918 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board SS Melusia on 16 September 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on 6 November 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on 19 February 1919 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Morinda on 17 March 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Morinda on 11 August 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Morinda on 1 September 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Marsina on 28 September 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on 2 October 1918 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board SS Sumatra on 10 November 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Meklong on 6 September 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on 18 December 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on 22 August 1918 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board SS Makambo on 16 September 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Matunga on 27 July 1917 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Marsina on 14 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
