| Regimental number | 1654 |
| Place of birth | Warwick Queensland |
| Religion | Church of England |
| Occupation | Baker |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Annie Jackson, Torquay Bakery, Pialba, Queensland |
| Enlistment date | 7 December 1915 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Regimental number from Nominal Roll | 1654A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 11 January 1918 |
| Date of death | 18 April 1964 |
| Place of burial | Mt Thompson Crematorium |