| Regimental number | 376 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Electrical engineer |
| Address | South Terrace, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Walter Blaxland, 161 South Terrace, Fremantle, Western Australia |
| Enlistment date | 15 December 1914 |
| Date of enlistment from Nominal Roll | 16 December 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/15/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A52 Surada on 17 February 1915 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 5 March 1919 |
