| Regimental number | 3053A |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Winchelsea, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, M Jackson, Winchelsea, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Osterley on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |