| Regimental number | 12 |
| Place of birth | Dimboola Victoria |
| Religion | Methodist |
| Occupation | Blacksmith |
| Address | O'Halloran Hill, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Ann Jordan, Dimboola, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 43rd Battalion, Headquarters |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |