| Regimental number | 3420 |
| Place of birth | Woking England |
| Religion | Church of England |
| Occupation | Bookkeeper |
| Address | Oakwood, Augathella, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Mary Ann Jackman, 27 Brunswick Street, Kingston-on-Thomaes, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion 9th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on |
| Regimental number from Nominal Roll | 3420A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
