| Regimental number | 3101 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Gunyah Gunyah,via Boolara, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | H. Jackson, Gunyah Gunyah via Boolara, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/25/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT RMS Osterley on |
| Recommendations (Medals and Awards) |
Distinguished Conduct Medal (Awarded Military Medal) |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 75 Date: |