| Regimental number | 3688 |
| Place of birth | Brunswick Victoria |
| Religion | Presbyterian |
| Occupation | Baker |
| Address | Moreland, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Alice Jackson, The Avenue, Moreland, Victoria |
| Enlistment date | 28 March 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 14 January 1919 |
