| Regimental number | 54390 |
| Place of birth | Singleton New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Cardiff, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs M J Blackwell, Cardiff, Newcastle, New South Wales |
| Enlistment date | 27 March 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 7 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Train |
| Fate | Returned to Australia 1 July 1919 |
