| Regimental number | 3434 |
| Place of birth | Ipswich Queensland |
| Religion | Methodist |
| Occupation | Bootmaker |
| Address | Squire Street, Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Elizabeth Jackson, Squire Street, Ipswich, Queensland |
| Enlistment date | 1 December 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion 9th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 1 July 1919 |
