| Regimental number | 2255 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | 11 Queen Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Elizabeth Jackson, 11 Queen Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | Australian Reserve Park 1, Company 10 |
| AWM Embarkation Roll number | 25/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
