| Regimental number | 6027 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 21 Scare Street, Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, W Bliss, 21 Scare Street, Leichhardt, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |