| Regimental number | 25406 |
| Place of birth | Cheshire England |
| Religion | Methodist |
| Occupation | Horse driver |
| Address | 397 Vincent Street, Leederville, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs A Jackson, 397 Vincent Street, Leederville, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 3, Reinforcement 1 |
| AWM Embarkation Roll number | 25/91/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Australian Corps Headquarters |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |