| Regimental number | 6345 |
| Place of birth | Bowen Queensland |
| Religion | Church of England |
| Occupation | Shipping clerk |
| Address | Cook Street, North Ward, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs L M Bliss, Cook Street North Ward, Townsville, Queensland |
| Enlistment date | 11 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Mcgillivray on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 19 February 1919 |
