| Regimental number | 483 |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Kitchenman |
| Address | 11 Grosvenor Street, South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Mary Zepa Blackburn, 11 Grosvenor Street, South Yarra, Victoria |
| Enlistment date | 14 February 1915 |
| Date of enlistment from Nominal Roll | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, B Company |
| AWM Embarkation Roll number | 23/46/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 24 August 1916 |
