| Regimental number | 5697 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Tennyson Street, Sandringham, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs M Jackman, Tennyson Street, Sandringham, Victoria |
| Enlistment date | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Effective abroad (still overseas) |
