| Regimental number | 1662 |
| Place of birth | Broomfield, Victoria |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Talbot Street, Majorca, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Helena Blyth, Talbot Street, Majorca, Victoria |
| Enlistment date | 26 February 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 15 May 1919 |
