| Regimental number | 3692 |
| Religion | Presbyterian |
| Occupation | Painter |
| Address | 55 Shackel Street, West Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs. M.J. Blanchard, 55 Shackel Street, West Coburg, Victoria |
| Enlistment date | 24 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/25/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A40 Ceramic on 23 November 1915 |
| Miscellaneous details (Nominal Roll) | see page 3134 |