| Regimental number | 9636 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Silver May Jackman, c/o F S Hunt, Esq., Canberra, Anglo Road, Campsie, North Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | 2nd Corporal |
| Unit name | 11th Field Company Engineers, Headquarters |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Outer Harbour, South Australia, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
