| Regimental number | 15346 |
| Place of birth | Westmoreland England |
| Religion | Church of England |
| Occupation | Linesman |
| Address | Hamilton, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. Martha Jackson, Holt House, Ambelside, West Moreland, England |
| Enlistment date | 17 May 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 21 |
| AWM Embarkation Roll number | 22/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Divisional Signal Company |
| Fate | Returned to Australia 2 March 1919 |
