
| Regimental number | 24591 |
| Place of birth | Malvern Victoria |
| Religion | Church of England |
| Occupation | Grazier |
| Address | 4 Wattletree Road, Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs A T Jackson, 4 Wattletree Road, Malvern, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 3, Section 3 |
| AWM Embarkation Roll number | 25/91/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Died of sickness |
| Miscellaneous details (Nominal Roll) | Died at sea |
| Place of burial | At Sea |
| Commemoration details | Hollybrook Memorial, Southampton, England |
| Panel number, Roll of Honour, Australian War Memorial | 21 |