| Regimental number | 6772 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Packer |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Essa Blackstone, 10 Moorehead Street, Redfern, New South Wales |
| Enlistment date | 11 September 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 22 August 1919 |