| Regimental number | 4227 |
| Date of birth | |
| Place of birth | South Yarra Victoria |
| Religion | Methodist |
| Occupation | Accountant |
| Address | 17 Grattan Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M Jackson, 17 Grattan Street, Carlton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 14th Battalion |
| Promotions |
2nd Lieutenant Unit: INF14 Promotion date: Lieutenant Unit: INF14 Promotion date: |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Returned to Australia |