| Regimental number | 5192 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Walmer, Cameron Street, Kogarah, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | A E Jackson, Walmer, Cameron Street, Kogarah, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 1, Reinforcement 9 |
| AWM Embarkation Roll number | 25/89/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |