| Regimental number | 267 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Horsebreaker |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Benjamin Jackson, PO, Lismore, New South Wales |
| Enlistment date | 4 September 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, B Company |
| AWM Embarkation Roll number | 23/26/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A5 S.S. Omrah on 24 September 1914 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 27 September 1917 |
