| Regimental number | 7583 |
| Place of birth | Ararat New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs. M. Jackson, 23 Park Street, St. Kilda, Victoria |
| Enlistment date | 8 April 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 25th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board H.M.A.T. A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 12 May 1918 |
