| Regimental number | 1962 |
| Place of birth | Swift Current Canada |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Henry Jackman, Swift Current, Canada |
| Enlistment date | 28 January 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 26 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 12 March 1918 |
