| Regimental number | 1007 |
| Place of birth | Mungindi New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Croydon Street, Petersham |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. J. Jackson, Holland Park, South Brisbane |
| Enlistment date | 24 February 1915 |
| Date of enlistment from Nominal Roll | 2 March 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A65 Clan Mcewen on 28 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Squadron |
| Fate | Returned to Australia 14 March 1919 |
