| Regimental number | 18618 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Carpenter and joiner |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Kate Ethel Blake, 'Belmont,' 5 Amelia Street, Waterloo, New South Wales |
| Enlistment date | 20 March 1917 |
| Rank on enlistment | Sapper |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Field Company Engineers |
| Fate | Returned to Australia 10 December 1918 |