| Regimental number | 6052 |
| Place of birth | Wentworth New South Wales |
| Religion | Church of England |
| Occupation | Grocer's assistant |
| Address | Esperance, Western Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Father, Andrew James Blake, c/o Mrs George Randell, Mundijong, Western Australia |
| Enlistment date | 15 February 1916 |
| Date of enlistment from Nominal Roll | 8 January 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 16 June 1919 |