| Regimental number | 1286 |
| Place of birth | Eton Queensland |
| Religion | Church of England |
| Occupation | Motor car driver |
| Address | Cavannah, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Fanny Jacklin, Cavannah PO, Cavannah, Eton, Mackay, Queensland |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, A Company |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 12 May 1919 |
