| Regimental number | 3501 |
| Place of birth | Port Augusta South Australia |
| Religion | Baptist |
| Occupation | Stock drover |
| Address | Mica Street, Railway Town, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss Amelia Jackaman, Mica Street, Railway Town, Broken Hill, New South Wales |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | August 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Regimental number from Nominal Roll | 3501A |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 18 July 1919 |
