| Regimental number | 786 |
| Place of birth | Penrith New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 'Hillview', Bogan Street, Summer Hill, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Josephine Blacket, 'Hillview,' Bogan Street, Summer Hill, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Anzac Cyclist Battalion, Reinforcement 8 |
| AWM Embarkation Roll number | 12/1/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Cyclists Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
