| Regimental number | 3869 |
| Place of birth | Cunnamulla, Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cunnamulla, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M E Jackson, Dressmaker, Cunnamulla, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Died of wounds |
| Place of death or wounding | Pozieres, Somme Sector, France |
| Age at death | 22 |
| Age at death from cemetery records | 22 |
| Place of burial | Bologne Eastern Cemetery (Plot VIII, Row B, Grave No. 141), France |
| Panel number, Roll of Honour, Australian War Memorial | 97 |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
