| Regimental number | 4367 |
| Place of birth | Chatham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kingslangley Road, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, F Blackman, 149 Station Road, Rainham, Kent, England |
| Enlistment date | 6 November 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 12 July 1919 |
