| Regimental number | 6719 |
| Place of birth | Worcester England |
| Religion | Congregational |
| Occupation | Caretaker |
| Address | Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs A Blakemore, 1 Robinson Street, Subiaco, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |