| Regimental number | 1616 |
| Place of birth | Nottinghamster England |
| Religion | Church of England |
| Occupation | Collier |
| Address | 29 Clapham Street, Old Radford, Nottingham, England |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Annie Jackson, 29 Clapham Street, Old Radford, Nottingham, England |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 19th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
