| Regimental number | 2835 |
| Place of birth | Numurkah Victoria |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Numurkah, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Ann Jackson, Numurkah, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 20th Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A1 Hymettus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Light Horse Regiment |
| Fate | Returned to Australia |
| Date of death | |
| Age at death | 62 |
| Place of burial | Numurkah Cemetery, Victoria |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
