| Regimental number | 51206 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Bexley, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs L R Blackburn, 'Mililbo', Railway Parade, Burwood, New South Wales |
| Enlistment date | 15 March 1917 |
| Rank on enlistment | Private |
| Unit name | 1st to 15th (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 6 July 1919 |
