| Regimental number | 2800 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | 7 Elger Street, Glebe, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, W Blackburn, 2 Elger Street, Glebe, Sydney, New South Wales |
| Enlistment date | 8 February 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 25 March 1919 |