| Regimental number | 4143 |
| Place of birth | Allendale, Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 374 Wellington Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, C Blake, 374 Wellington Street, Collingwood, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Work near Morcourt on 8 August 1918. Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 61 Date: |