| Regimental number | 1019 |
| Date of birth | |
| Place of birth | Leyton England |
| Religion | Church of England |
| Occupation | Soldier |
| Address | 49 Raglan Street, Mosman, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M Jackson, 49 Raglan Street, Mosman, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Regimental Sergeant Major |
| Unit name | 30th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 30th Battalion |
| Promotions |
2nd Lieutenant Unit: INF30 Promotion date: |
| Fate | Dismissed the Service |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
