| Regimental number | 1349 |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Glenelg, South Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Ida Beatrice Jackson, c/o Mrs H Osborne, Rodolph Terrace, Glenelg, South Australia |
| Enlistment date | |
| Rank on enlistment | 2nd Corporal |
| Unit name | Railway Unit, Section 4 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 4th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
