| Regimental number | 620 |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Helmsdale, Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Jackson, Glenelg, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, E Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
