| Regimental number | 1165 |
| Place of birth | Guyra New South Wales |
| Religion | Presbyterian |
| Occupation | Grazier |
| Address | Brushy Creek, Guyra, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Jackson, Brushy Creek, Guyra, New South Wales |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, D Company |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 12 June 1919 |
