| Regimental number | 5106 |
| Place of birth | Yorkshire England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Sandstone, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, R Blackburn, Willow Lane, North Featherstone, North Pontefract, Yorkshire, England |
| Enlistment date | 6 December 1915 |
| Date of enlistment from Nominal Roll | 16 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, 2nd Reinforcement |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia 19 June 1919 |
