| Religion | Roman Catholic |
| Occupation | Law student |
| Address | Cannawarra, Queenscliffe Road, Manly, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs W J Blake, Cannawarra, Queenscliffe Road, Manly, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 20th Battalion, D Company |
| AWM Embarkation Roll number | 23/37/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
