| Regimental number | 16876 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Hospital attendant |
| Address | Glebe Point, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Mary Jackson, 7 Avon Street, Glebe Point, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Australian Camel Field Ambulance |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
