| Regimental number | 55643 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Union Bank, Brunswick Street, Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, A Jackson, Union Bank, Brunswick Street, Fitzroy, Victoria |
| Previous military service | 63rd Infantry |
| Enlistment date | 16 March 1918 |
| Date of enlistment from Nominal Roll | 12 March 1918 |
| Rank on enlistment | Private |
| Unit name | 7th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A74 Marathon on 23 July 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 22 July 1919 |
