| Regimental number | 113 |
| Religion | Church of England |
| Occupation | Carpenter |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs Isabella Jackson, 32 Military Road, Neutral Bay, Sydney, New South Wales |
| Enlistment date | 23 December 1914 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, C Company |
| AWM Embarkation Roll number | 23/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport Berrima on 25 June 1915 |
| Regimental number from Nominal Roll | 43 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 4 May 1917 |
