| Regimental number | 2210 |
| Place of birth | Rowsley, Victoria |
| Religion | Church of England |
| Occupation | Telegraph operator |
| Address | 616 Ligar Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs S Blacker, 616 Ligar Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |