| Regimental number | 3514 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Smithton, Tasmania |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Brother, A Blanch, Smithton, Tasmania |
| Enlistment date | 16 October 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Fate | No details of fate entered on Nominal Roll |