| Regimental number | 3515 |
| Place of birth | Richmond Victoria |
| Religion | Roman Catholic |
| Occupation | Blacksmith |
| Address | Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, T Jackson, 2 Green Street, Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 27th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Ferntree Gully Cemetery, Victoria |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
