| Regimental number | 109 |
| Place of birth | Macrossan Queensland |
| Religion | Presbyterian |
| Occupation | Fireman |
| Address | Percy Street, East Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs P I Blain, Percy Street, East Warwick, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, A Company |
| AWM Embarkation Roll number | 23/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
