| Regimental number | 891 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Caltowie, South Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Sarah Jackson, York, Yorkshire, England |
| Enlistment date | 24 February 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, D Company |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 9 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 10 September 1917 |
