| Regimental number | 7343 |
| Place of birth | Liversidge England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs D Jackson, 133 Townsend Road, Subiaco, Western Australia |
| Enlistment date | 15 November 1916 |
| Date of enlistment from Nominal Roll | 13 November 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Miltiades on 29 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 1 June 1919 |
