| Regimental number | 18859 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Steward |
| Address | West End, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs A E Blackman, c/o Mrs Dunn, Dornoch Terrace, West End, Brisbane, Queensland |
| Enlistment date | 19 June 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 31 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 24 July 1919 |
| Date of death | 8 December 1941 |
| Place of burial | Toowong Cemetery |
