| Regimental number | 7194 |
| Place of birth | Mount Morgan Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mount Morgan, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Jackson, Cemetery Road, Mount Morgan, Queensland |
| Enlistment date | 14 March 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 | 25th Battalion |
| Fate | Returned to Australia 8 November 1918 |
| Date of death | 18 January 1928 |
| Place of burial | Toowong Cemetery |