| Regimental number | 1804 |
| Place of birth | Collingwood, Victoria |
| Religion | Church of England |
| Occupation | Fireman |
| Address | North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs L A A Blyth, 45 Gower Street, Kensington, Victoria |
| Enlistment date | 15 March 1917 |
| Rank on enlistment | Corporal |
| Unit name | Railway Unit, Section 5 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 6th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 1 July 1919 |
