| Regimental number | 3160 |
| Place of birth | Essex England |
| Religion | Church of England |
| Occupation | Shoeing smith |
| Address | 16 Brisbane Street, Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Ada Jackson, 16 Brisbane Street, Perth, Western Australia |
| Enlistment date | 6 September 1915 |
| Date of enlistment from Nominal Roll | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 18 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 4 May 1917 |
