| Date of birth | |
| Religion | Church of England |
| Occupation | Independent |
| Address | St Michaels, Hatfield Herts, England |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Jean Mounsey Blackett, Abingdon Villa Moffat, Dumfrieshire, England |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 18th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/35/1 |
| Embarkation details | Unit embarked from s, New South Wales, on board TRANSPORT A40 Ceramic on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Promotions |
Lt (late 2/Lt ANMEF) Unit: APC Promotion date: |
| Recommendations (Medals and Awards) |
Croix de Guerre (Belgium) Recommendation date: |
| Fate | Discharged |
| Medals |
Croix de Guerre (Belgium) Source: 'Commonwealth Gazette' No. 185 Date: |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
