| Regimental number | 7454 |
| Place of birth | Stawell, Victoria |
| Religion | Church of England |
| Occupation | Warehouse employee |
| Address | Fairfield, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Blanchard, 33 Arthur Street, Fairfield, Victoria |
| Enlistment date | 9 January 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/31/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 1 July 1919 |
