| Regimental number | 3754 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Jeremiah Blanchfield, Eskdale,via Tallangatta, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Aunt, Mrs Mary Round, 19 Somerville Road, New Cross, London SE, England |
| Enlistment date | 2 December 1915 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |