| Regimental number | 354 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Pearler |
| Address | GPO, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mrs Blackman, GPO, Perth, Western Australia |
| Enlistment date | 14 December 1914 |
| Date of enlistment from Nominal Roll | 22 December 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/15/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A47 Mashobra on 17 February 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Signal Squadron |
| Fate | Returned to Australia 20 July 1919 |
