| Regimental number | 5049 |
| Place of birth | Isle of Man |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Post Office, Mosman North, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, P Blain, Hisketh Avenue, Visphan, Blackpool Lancashire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
