| Regimental number | 10349 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Groom |
| Address | 79 Noone Street, Clifton Hill, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs F M Jackson, 79 Noone Street, Clifton Hill, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 2, Reinforcement 13 |
| AWM Embarkation Roll number | 13/30/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
