| Regimental number | 4143 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Katherine Jackson, 172 Russell Street, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
