| Regimental number | 18679 |
| Place of birth | Forbes New South Wales |
| Religion | Church of England |
| Occupation | Licensed surveyor |
| Address | Riverstone, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Louisa Blacket, Alnear Glen, New South Wales |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Driver |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 3rd Field Company Engineers |
| Fate | Returned to Australia 20 June 1919 |
