| Regimental number | 4378 |
| Place of birth | Hatton Vale Queensland |
| School | Esk State School, Qld |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Esk, Queensland |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Minnie Blank, Esk, Queensland |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Star of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Died of wounds |
| Place of death or wounding | France |
| Date of death | |
| Age at death | 34 |
| Age at death from cemetery records | 34 |
| Place of burial | Lijssenthoek Military Cemetery (Plot XX, Row E, Grave No. 5A), Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 103 |
| Miscellaneous information from cemetery records | Parents: Carl and Jane BLANK, husband of Minnie BLANK, Wellington Street, Coorparoo, Brisbane. Native of Esk, Queensland |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |