| Regimental number | 67979 |
| Place of birth | Lismore New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Murwillumbah, Tweed River, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, G H Jordan, South Murwillumbah, Tweed River, New South Wales |
| Enlistment date | 9 September 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | 6 September 1974 |
| Place of burial | Tweed Heads Cemetery |
