| Regimental number | 1002 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Grazier |
| Address | c/o E Blackwell, Findlay Avenue, Roseville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, E P Blackwell, Findlay Avenue, Roseville, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A65 Clan McEwen on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |