| Regimental number | 1148 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | John Jackson, 2 Keston Avenue, Mosman, Sydney, New South Wales |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Lance Corporal |
| Unit name | 1st Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
