| Regimental number | 6993 |
| Place of birth | Leichhardt New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 202 Underwood Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs K Jackson, 202 Underwood Street, Paddington, Sydney, New South Wales |
| Enlistment date | 24 July 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 30 January 1918 |
