| Regimental number | 813 |
| Place of birth | Hastings England |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Alligator Creek, Mackay, Queensland |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Mabel Jackson, Alligator Creek, Mackay, Queensland |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, C Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Effective abroad (still overseas) |
