| Regimental number | 31197 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 'The Glen', Park Avenue, Mosman, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Brother, S E Blacket, 'The Glen', Park Avenue, Mosman, Sydney, New South Wales |
| Previous military service | 17th Infantry |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 4, Reinforcement 9 |
| AWM Embarkation Roll number | 25/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 19 December 1916 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 4th Division Artillery |
| Fate | Returned to Australia 1 May 1919 |
