| Regimental number | 2350 |
| Place of birth | Kettering Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Mary M Jackson, 50 Goulburn Street, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
