| Regimental number | 5242 |
| Place of birth | Alexandria New South Wales |
| Religion | Wesleyan |
| Occupation | Engine driver |
| Address | 99 Gordon Street, Alexandria, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A M Blake, 92 Gordon Street, Alexandria, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 60th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
