| Regimental number | 2576 |
| Place of birth | Cornwall England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Yarram, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Hannah Jane Blatchford, 11 Exeter Road, Crediton, Devon, England |
| Enlistment date | 25 May 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A10 Karroo on 18 September 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 6 September 1919 |