| Regimental number | 60074 |
| Place of birth | Cowra New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Carlingford, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, R Jackson, Willoughby Street, Carlingford, New South Wales |
| Previous military service | 20th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 15 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
