| Regimental number | 7076 |
| Place of birth | Ipswich Queensland |
| Religion | Presbyterian |
| Occupation | Contractor |
| Address | West End, Queensland |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E J Jackson, Victoria Street, West End, Brisbane, Queensland |
| Enlistment date | 8 October 1917 |
| Date of enlistment from Nominal Roll | 5 October 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 25 January 1919 |
