| Regimental number | 382 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Tandara PO, Tandara via Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Isabella Jackman, Tandara PO, Tandara via Bendigo, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Squadron 2 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A67 Orsova on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Remount Unit |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
