| Regimental number | 30807 |
| Place of birth | Castlemaine Victoria |
| Religion | Methodist |
| Occupation | Bank clerk |
| Address | Lilydale, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Rev. R Jackson, Methodist Parsonage, Lilydale, Victoria |
| Enlistment date | 1 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 15, Reinforcement 8 |
| AWM Embarkation Roll number | 13/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 22 August 1919 |
