| Regimental number | 2615 |
| Place of birth | Coburg Victoria |
| Religion | Church of England |
| Occupation | Furrier |
| Address | Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Sarah Anne Jackson, c/o Mrs Tognini, 'Clair', Tooronga Road, East Malvern, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/76/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 59th Battalion |
| Promotions |
2nd Lieutenant Unit: 59th Battalion Promotion date: Lieutenant Unit: 59th Battalion Promotion date: |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |