| Regimental number | 2683 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Marie Agnew Jackson, Kent House, Wickham Terrace, Brisbane, Queensland |
| Enlistment date | 9 March 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 31 July 1918 |
