| Regimental number | 3606 |
| Place of birth | Fremantle Western Australia |
| Religion | Roman Catholic |
| Occupation | Stockrider |
| Address | South Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Ada Ellen Jackson, 17 Commercial Road, South Fremantle, Western Australia |
| Enlistment date | 4 May 1917 |
| Rank on enlistment | Private |
| Unit name | Camel Corps, May 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A17 Port Lincoln on 30 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Imperial Camel Brigade |
| Fate | Returned to Australia 12 July 1918 |