| Regimental number | 6736 |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Roben Hotel, Musk Creek, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mr J W Jackson, 5 Edgeware View, Boundry Road, Leeds, Yorkshire, England |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Battery 12 |
| AWM Embarkation Roll number | 13/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
