| Regimental number | 2794 |
| Place of birth | Auckland New Zealand |
| Religion | Church of England |
| Occupation | Electrical engineer |
| Address | 91 Newland Street, Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Mary Leah Jackson, Glen Eden, Balfour Road, Arnell, Auckland, New Zealand |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sapper |
| Unit name | 7th Field Company Engineers |
| AWM Embarkation Roll number | 14/26/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Army Trp Engrs |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
