| Regimental number | 3865 |
| Place of birth | Ravenswood Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | Brown Street, New Farm, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Beatrice Maud Jackson, Brown Street, New Farm, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Mt Thompson Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
