| Regimental number | 30209 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 'Kyneton', Victoria Road, Bellevue Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J M Jefferson, 'Kyneton', Victoria Road, Bellevue Hill, New South Wales |
| Previous military service | 21st Infantry |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 7, Reinforcement 6 |
| AWM Embarkation Roll number | 13/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 7th Field Artillery Brigade |
| Fate | Returned to Australia 26 September 1917 |
