| Regimental number | 6291 |
| Place of birth | Hamilton Victoria |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Stoe Park, Hamilton, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Jackson, Stue Park, Hamilton, Victoria |
| Enlistment date | 11 April 1916 |
| Date of enlistment from Nominal Roll | 11 July 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 8 April 1918 |