| Regimental number | 16122 |
| Place of birth | Mount Gambier South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Phillipstown, Mt Gambier, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs F Jackway, Phillipstown, Mt Gambier, South Australia |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 14, Reinforcement 3 |
| AWM Embarkation Roll number | 13/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Garden of Rembrance, South Australia. |
| Date of death | |
| Age at death | 66 |