| Regimental number | 5200 |
| Place of birth | Brunswick Victoria |
| Religion | Church of England |
| Occupation | Furniture maker |
| Address | 252 Edward Street, East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Grandparent, Mrs A Blaney, Edward Street, East Brunswick, Victoria |
| Enlistment date | 5 February 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 20 November 1918 |
