| Regimental number | 2153 |
| Place of birth | Hamilton Tasmania |
| Religion | Church of England |
| Occupation | Bath attendant |
| Address | Linda Valley, North Lyell, Tasmania |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs E Jackson, Linda Valley, North Lyell, Tasmania |
| Enlistment date | 6 May 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 6th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Karoola on 16 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 24 June 1916 |
| Other details | Medals: 1914-15 Star, British War Medal, Victory Medal |