| Regimental number | 6102 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Driver |
| Address | 122 Cantonement Street, Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E F Jackson, Alfred Road, North Fremantle, Western Australia |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 12 |
| AWM Embarkation Roll number | 13/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 9 November 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
