| Regimental number | 997 |
| Place of birth | Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Horsebreaker |
| Address | Grace Park, Glenferrie, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mrs R Blackburn, Grace Park, Glenferrie, Victoria |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Driver |
| Unit name | 5th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A3 Orvieto on 21 October 1914 |
| Regimental number from Nominal Roll | 1891A |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 19 June 1919 |