| Regimental number | 3079 |
| Place of birth | Bombala New South Wales |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | North Ryde, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Elizabeth Jackson, Waterloo Road, North Ryde, Sydney, New South Wales |
| Enlistment date | 23 November 1916 |
| Date of enlistment from Nominal Roll | 2 November 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/50/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 4 July 1919 |