| Regimental number | 54625 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Survey draftsman |
| Address | Riverstone, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, A Blacket, Alucan Glen, Riverstone, New South Wales |
| Enlistment date | 12 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 8 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Miscellaneous details (Nominal Roll) | see other |
