| Regimental number | 5339 |
| Place of birth | Auckland, New Zealand |
| Religion | Church of England |
| Occupation | Telegraphist |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs A Blackwell, Ellerslie, Ward Street, Auckland, New Zealand |
| Enlistment date | 1 December 1915 |
| Place of enlistment | Cootamundra, New South Wales |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 4 May 1917 |
