| Regimental number | 3169 |
| Place of birth | North Melbourne, Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Kew, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Jane Blake, Uvadale Grove, Kew, Victoria |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/54/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 37th Battalion |
| Fate | Returned to Australia 18 January 1919 |
