| Regimental number | 2160 |
| Place of birth | Melbourne Victoria |
| Religion | Congregational |
| Occupation | Labourer |
| Address | 22 Church Street, Balmain, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs C J Jackson, 22 Church Street, Balmain, New South Wales |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 28 January 1916 |
