| Regimental number | 6762A |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Soldier |
| Address | North Williamstown, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E M Blaker, 'Melba', 113 Railway Place, North Williamstown, Victoria |
| Enlistment date | 16 February 1917 |
| Rank on enlistment | Sergeant |
| Unit name | 23rd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | ABD |
| Fate | Returned to Australia 1 July 1919 |
