| Regimental number | 3053 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | 2 Sebastopol Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Mary A Jackson, 2 Sebastopol Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 5th Field Company Engineers |
| AWM Embarkation Roll number | 14/24/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Field Company Engineers |
| Recommendations (Medals and Awards) |
Mention in Despatches Work at Pozieres. Recommendation date: |
| Fate | Returned to Australia |