| Regimental number | 2566 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Balaclava, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W A Blake, 63 Grosvenor Street, Balaclava, Victoria |
| Enlistment date | 19 June 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 26 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 14 January 1917 |
