| Regimental number | 494 |
| Date of birth | |
| Place of birth | Plymouth England |
| Religion | Church of England |
| Occupation | Ships plater |
| Address | 34 Winbury Park Road, Peverell Plymouth, England |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Lucy Blackford, 34 Winbury Park Road, Plymouth, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, B Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 17th Battalion |
| Promotions |
2nd Lieutenant Unit: Gen INF Rein Promotion date: Lieutenant Unit: INF17 Promotion date: |
| Fate | Returned to Australia |