| Regimental number | 22815 |
| Place of birth | Paddington New South Wales |
| Religion | Methodist |
| Occupation | Printer |
| Address | 61 Gipps Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs H Jackson, 61 Gipps Street, Paddington, New South Wales |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 7, Reinforcement 1 |
| AWM Embarkation Roll number | 13/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Motor Transport Company |
| Fate | Returned to Australia 16 January 1919 |
