| Regimental number | 19862 |
| Place of birth | Inverell New South Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Inverell, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, William Bleakley, Byron Street, Inverell, New South Wales |
| Previous military service | 13th Infantry |
| Enlistment date | 2 July 1917 |
| Date of enlistment from Nominal Roll | 21 June 1917 |
| Rank on enlistment | Sapper |
| Unit name | August 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Effective abroad (still overseas) |
