| Regimental number | 1617 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Montague Road, Hill End, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Mrs E E Bliss, Montague Road, Hill End, South Brisbane, Queensland |
| Previous military service | 3rd Battery Australian Field Artillery |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | Bombardier |
| Unit name | Field Artillery Brigade 3, Battery 7 |
| AWM Embarkation Roll number | 13/31/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A22 Rangatira on 25 September 1914 |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia 28 February 1919 |
