| Regimental number | 3555 |
| Place of birth | Wisbeach England |
| Religion | Church of England |
| Occupation | Porter |
| Address | Federal Hotel, Collie, Western Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs A Jackson, 11 Claremont Terrace, Gilligate, York, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Headquarters |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
