| Regimental number | 2569 |
| Place of birth | St Arnaud, Victoria |
| Religion | Methodist |
| Occupation | Painter |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W R Bliss, Eighth Street, Mildura, Victoria |
| Enlistment date | |
| Rank on enlistment | Acting Corporal |
| Unit name | 21st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Moldavia on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 24th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 119 Date: |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
