| Regimental number | 4105 |
| Place of birth | Kirby Stephen England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | 14 Mile Brook, Narrogin, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Ann Blacklin, 799 Benson Road, Byker, Newcastle-on-Tyne, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
