| Regimental number | 1909 |
| Place of birth | Mooroopna, Victoria |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Chapple Street, North Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Alice Blake, Chapple Street, North Broken Hill, New South Wales |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia 31 October 1917 |
| Date of death | 30 June 1959 |
| Place of burial | Broken Hill Cemetery |
