| Regimental number | 38 |
| Place of birth | Hamilton Tasmania |
| Religion | Church of England |
| Occupation | Rifle range assistant |
| Address | Sandy Bay, Tasmania |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Ruby Lillian Jackson, 42 Lord Street, Sandy Bay, Tasmania |
| Enlistment date | 26 October 1917 |
| Rank on enlistment | Fitter |
| Unit name | Australian Ordnance Corps (Inspector Ordnance Machinery Section) |
| AWM Embarkation Roll number | 2/12/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 5 January 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Returned to Australia 10 April 1919 |