| Regimental number | 716 |
| Place of birth | Wallsend New South Wales |
| Religion | Methodist |
| Occupation | Wheeler |
| Address | Brooke Street, Waratah, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mrs. M.J. Blacklock, Wallsend, Brooke Street, Waratah, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, G Company |
| AWM Embarkation Roll number | 23/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
