| Regimental number | 824 |
| Place of birth | Fremantle Western Australia |
| Religion | Methodist |
| Occupation | Lumper |
| Address | 122 Cantonment Street, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs W H Jackson, 122 Cantonment Street, Fremantle, Western Australia |
| Enlistment date | 31 August 1914 |
| Date of enlistment from Nominal Roll | 14 September 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, G Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on 2 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 3 February 1915 |
