| Regimental number | 13153 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Moore Street, Ararat, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, H Blake, Moore Street, Ararat, Victoria |
| Previous military service | 73rd Infantry |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 4 |
| AWM Embarkation Roll number | 13/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 21 March 1916 |
| Fate | No details of fate entered on Nominal Roll |