| Regimental number | 9124 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Timekeeper |
| Address | 9 Swanston Street, Erskineville |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Mary Jane Blandford, 9 Swanston Street, Erskineville |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
