| Regimental number | 1279 |
| Place of birth | Kempsey New South Wales |
| Religion | Church of England |
| Occupation | Compositor |
| Address | Kempsey, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | mother, Mrs Charlotte Ellen Jackson, Mountain View, Kempsey, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps, Company 3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian General Base Depot |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
