| Regimental number | 43 |
| Place of birth | Collingwood Victoria |
| Religion | Presbyterian |
| Occupation | Plasterer |
| Address | 47 Barry Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Jackson, c/o R.E. Paterson, Bunbartha, Victoria |
| Enlistment date | 21 August 1914 |
| Rank on enlistment | Private |
| Unit name | Head Quarters 1st Australian Division |
| AWM Embarkation Roll number | 1/42/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A3 Orvieto on 21 October 1914 |
| Date of embarkation incorrectly entered on Embarkation Roll as 22 October 1914. |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 23 October 1918 |
