| Regimental number | 3499 |
| Place of birth | Maryborough Queensland |
| Religion | Methodist |
| Occupation | Motor mechanic |
| Address | Tinana, Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, L Jackson, Tinana, Maryborough, Queensland |
| Enlistment date | 3 September 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/43/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Depot Unit of Supply |
| Fate | Returned to Australia 15 February 1918 |