| Regimental number | 6065 |
| Place of birth | Eudunda South Australia |
| Religion | Church of England |
| Occupation | Bar tender |
| Address | Surry Hotel, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs M Jackson, Eudunda, South Australia |
| Enlistment date | 24 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 7 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 26 September 1917 |
| Date of death | 9 October 1928 |
| Place of burial | Karrakatta Cemetery |
