| Regimental number | 1781 |
| Place of birth | Rockhampton Queensland |
| Religion | Church of England |
| Occupation | Prospector |
| Address | Westonia, Eg Railway, Western Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs Evelyn A Jackson, 25 Shearer Street, Perth, Western Australia |
| Enlistment date | 21 January 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 19 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 8 August 1916 |
