| Regimental number | 793 |
| Place of birth | Richmond England |
| Religion | Methodist |
| Occupation | Motor driver |
| Address | Brae Street, Ross Hill, Inverell, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M Jackson, Reeves, Crookwell, New South Wales |
| Enlistment date | 24 November 1915 |
| Date of enlistment from Nominal Roll | 8 November 1915 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, C Company |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 22 February 1917 |
