| Regimental number | 6715 |
| Place of birth | Wodonga, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | PO Maxton, Coolamon, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E H. Blake, Tallangatta Valley, Victoria |
| Enlistment date | 5 November 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 16 June 1919 |
