| Regimental number | 3063 |
| Place of birth | Bellaghy Ireland |
| Religion | Methodist |
| Occupation | Carrier |
| Address | Teneriffe, Queensland |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Annie Jane Jackson, Chernside Street, Teneriffe, Queensland |
| Enlistment date | 15 September 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/59/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Discharged 26 March 1919 |
