| Regimental number | 752 |
| Place of birth | Yorkshire England |
| Religion | Methodist |
| Occupation | Storeman |
| Address | Oxford Place off Brereton Street, South Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs C M Blackburn, Oxford Place off Brereton Street, South Brisbane, Queensland |
| Enlistment date | 8 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 12, Reinforcement 14 |
| AWM Embarkation Roll number | 24/17/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 6 May 1919 |