| Regimental number | 4482 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | c/o Mrs J Blackwell, Russell Street, Woollahra, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Jane Blackwell, Russell Street, Woollahra, Sydney, New South Wales |
| Enlistment date | 28 September 1914 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 3, Reinforcement 6 |
| AWM Embarkation Roll number | 13/31/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on 2 June 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 28 March 1919 |
