| Regimental number | 7274 |
| Place of birth | Geelong Victoria |
| Religion | Presbyterian |
| Occupation | Storekeeper |
| Address | Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Miss K Jackson, 29 Alexander Avenue, Geelong East, Victoria |
| Enlistment date | 30 November 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/22/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Regimental number from Nominal Roll | 7274B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 9 December 1918 |