| Date of birth | |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M A Jackson, Ronaldene Bank Street, West End Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 15th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 15th Battalion |
| Promotions |
Lieutenant Unit: 15th Battalion Promotion date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
