
| Regimental number | 4835 |
| Place of birth | Yorkshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Warrnambool, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Mary Jane Jackson, Edina Street, South Warrnambool, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Photo: Kent Fedorowich |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 73 |
| Place of burial | Melbourne General Cemetery, Victoria |