| Regimental number | 9126 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | c/o J H Blackburn, Hurlstone, Guildford Road, Mount Lawley, Western Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Ethel May Blackburn, Warwick Flats, Edgecliff, Sydney |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
