| Regimental number | 4708 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Whelley, Wigan, Lancs, England |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A A F Jackson, Whelley, Wigan, Lancs, England |
| Enlistment date | 18 December 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
