| Regimental number | 3501A |
| 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 A Jackaman, Mica Street, Railway Town, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
