| Regimental number | 5584 |
| Place of birth | Staffordshire England |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | Bradley Street, Randwick, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Alice Jackson, 49 Flinders Street, Darlinghurst, New South Wales |
| Enlistment date | 22 April 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 4 July 1919 |
