| Regimental number | 2155 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | c/o Peoples Palace, Edward Street, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Jackson, Onslow Street, Granville, Sydney, New South Wales |
| Enlistment date | 29 March 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A63 Karoola on 12 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
