| Regimental number | 4921 |
| Place of birth | Timaru, New Zealand |
| Religion | Church of England |
| Occupation | Clerk |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs C A Blundell, Elthan, New Zealand |
| Enlistment date | 26 August 1915 |
| Place of enlistment | Claremont, Tasmania |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 25 September 1919 |
