| Regimental number | 4067 |
| Place of birth | Burra, South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Koaringa, Burra, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Sarah Blott, Koaringa, Burra, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
