| Regimental number | 5583 |
| Place of birth | Newtown New South Wales |
| Religion | Church of England |
| Occupation | Brick setter |
| Address | 91 Septimus Street, Erskineville, New South Wales |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs Mary Jackson, 91 Septimus Street, Erskineville, New South Wales |
| Previous military service | 31st Infantry |
| Enlistment date | 11 November 1915 |
| Rank on enlistment | Driver |
| Unit name | 1st Field Company Engineers, Reinforcement 14 |
| AWM Embarkation Roll number | 14/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Field Company Engineers |
| Fate | Returned to Australia 8 May 1919 |
