| Regimental number | 56 |
| Place of birth | Port Fairy Victoria |
| Religion | Church of England |
| Occupation | Postal official |
| Address | 48 Maribyrnong Road, Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Elizabeth Sophia Jackson, 48 Maribyrnong Road, Moonee Ponds, Victoria |
| Previous military service | 28th Australian Army Medical Corps |
| Enlistment date | |
| Rank on enlistment | Staff Sergeant |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on |
| Rank from Nominal Roll | Warrant Officer (Class I) |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
