| Regimental number | 154 |
| Place of birth | Glenelg South Australia |
| Religion | Church of England |
| Occupation | Station overseer |
| Address | Helmsdale, Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. C.B. Jackson, Helmsdale, Glenelg, South Australia |
| Enlistment date | 10 September 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/8/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on 22 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
