| Regimental number | 4995 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | 'Lochinval', Dolphin Street, Randwick, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, A Jordan, 'Lochinval', Dolphin Street, Randwick, New South Wales |
| Enlistment date | 16 May 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 31 May 1919 |
