| Regimental number | 19548 |
| Place of birth | Williamstown, Victoria |
| School | Williamstown Catholic School, Victoria |
| Religion | Roman Catholic |
| Occupation | Driller |
| Address | Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M Jackson, 59 Twyford Street, Williamstown, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Other details from Roll of Honour Circular | Died at sea. |
| Fate | Died of sickness |
| Miscellaneous details (Nominal Roll) | Died at sea |
| Place of death or wounding | France |
| Age at death | 24.11 |
| Place of burial | At sea |
| Commemoration details | Hollybrook Memorial, Southampton, England |
| Panel number, Roll of Honour, Australian War Memorial | 183 |