| Regimental number | 3003 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | 5 Surry Street, Stanmore, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs M Blackett, 5 Surry Street, Stanmore, Sydney, New South Wales |
| Enlistment date | 30 April 1918 |
| Date of enlistment from Nominal Roll | 17 August 1915 |
| Rank on enlistment | Private |
| Unit name | April 1918 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian Light Railway Operating Company |
| Fate | Returned to Australia 1 July 1919 |
