| Regimental number | 1994 |
| Place of birth | Preston England |
| Religion | Church of England |
| Occupation | Ammunition work |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Jane Jackson, 164 Cowper Street, Footscray, Victoria |
| Enlistment date | 3 May 1915 |
| Rank on enlistment | Private |
| Unit name | 60th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/77/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 60th Battalion |
| Fate | Returned to Australia 23 November 1917 |
| Date of death | 5 September 1955 |
| Place of burial | St Kilda Cemetery |
