| Regimental number | 4680 |
| Place of birth | Wentworth New South Wales |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Globe Hotel, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, Andrew Blake, Mundijong, Western Australia |
| Enlistment date | 15 February 1916 |
| Date of enlistment from Nominal Roll | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 1 June 1919 |
