| Regimental number | 894 |
| Place of birth | St Arnaud, Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | 3 Cadby Street, Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Rosena Henrietta Bleasby, 3 Cadby Street, Brighton, Victoria |
| Enlistment date | 24 October 1916 |
| Rank on enlistment | Lance Corporal |
| Unit name | Australian Flying Corps, No 4 Squadron, Headquarters |
| AWM Embarkation Roll number | 8/7/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on 17 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Squadron, Australian Flying Corps |
| Fate | Effective abroad (still overseas) |
