| Regimental number | 852 |
| Place of birth | St Georges Basin New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | 5 Bond Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Cyril Blacket, 5 Bond Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |