| Regimental number | 7 |
| Place of birth | Mount Perry Queensland |
| Religion | Church of England |
| Occupation | Kangaroo shooter |
| Address | Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Father, Charles Jansan, Mackay, Queensland |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Brigade 11, Headquarters |
| AWM Embarkation Roll number | 23/11/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Driver |
| 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
