| Regimental number | 998 |
| Place of birth | Dandenong, Victoria |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Dandenong, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, C J R Blackshaw, Dandenong, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 24 January 1919 |
