| Regimental number | 6290 |
| Place of birth | Northam, Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Katanning, Western Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Kate Blake, Dempster Street, Northam, Western Australia |
| Previous military service | Served in the Light Horse, WA for one year. |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Died of wounds |
| Place of death or wounding | Polygon Wood, Ypres, Belgium |
| Date of death | |
| Age at death | 32 |
| Place of burial | Wimereux Communal Cemetery (Plot VI, Row B, Grave No. 5A), France |
| Panel number, Roll of Honour, Australian War Memorial | 112 |
| Miscellaneous information from cemetery records | Parents: William and Kate BLAKE, Dempster Street, Northam, Western Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |