| Regimental number | 6175 |
| Place of birth | Newcastle On Tyne England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Buffalo Hotel, Condobolin, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Emily Isabel Blackett, Doreen Clark Road, Neutral Bay, New South Wales |
| Enlistment date | 24 May 1916 |
| Date of enlistment from Nominal Roll | 22 May 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Company, Australian Army Service Corps |
| Fate | Returned to Australia 1 August 1919 |
