| Regimental number | 14003 |
| Place of birth | Brunswick, Victoria |
| Religion | Presbyterian |
| Occupation | Insurance inspector |
| Address | 'Elderslie', 15 Alma Road, Camberwell, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs F S C Blair, 'Elderslie', 15 Alma Road, Camberwell, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | CQMS |
| Unit name | 3rd Australian Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Quartermaster Sergeant |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 110 Date: |