| Regimental number | 51618 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Electrician |
| Address | 40 Booth Street, Golden Square, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs G M Jackson, 40 Booth Street, Golden Square, Victoria |
| Previous military service | 67th Infantry |
| Enlistment date | 11 February 1918 |
| Rank on enlistment | Private |
| Unit name | 3rd General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | aamu Details |
| Fate | Effective abroad (still overseas) |
