| Regimental number | 2926 |
| Place of birth | Balwyn, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 604 City Road, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Jessie Blackburn, 604 City Road, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A6 Clan Maccorquodale on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A1 Hymettus on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | a PROV C |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
