| Regimental number | 67352 |
| Place of birth | Armidale New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Douglas Street, Armidale, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, G Bliss, Douglas Street, Armidale, New South Wales |
| Enlistment date | 23 July 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
