| Regimental number | 6963 |
| Place of birth | Rokewood Junction, Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | Bittern, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Father, T Bleasdale, 483 Lygon Street, Carlton, Victoria |
| Enlistment date | 27 September 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 9 July 1919 |
