| Regimental number | 10/592 |
| Date of birth | |
| Place of birth | Dunedin |
| Occupation | Steward |
| Address | Greytown Hospital |
| Marital status | Single |
| Age at embarkation | 27.10 |
| Height | 5' 6.5" |
| Weight | 160 lbs |
| Next of kin | F W Jackson, c/o Borough Council, Carterton |
| Previous military service | Served for 3.5 years in the Greytown Rifles; not serving in any military unit at time of NZEF enlistment. |
| Enlistment date | |
| Place of enlistment | Masterton |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 10 Arawa on |
| Final rank | Private |
| Final unit | Wellington Infantry Battalion |
| Fate | Commenced return to New Zealand |
| Discharge date | |
| Other details |
War service: Egypt Commenced return to New Zealand on board HT 'Willochra', 1 February 1915; discharged (no longer physically fit for War Service: double inguinal hernia), 15 March 1915. War service: 208 days (of which 160 days were overseas) Medals: 1914-15 Star, British War Medal, Victory Medal |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Main Body |
| Sources | Archives New Zealand (Wellington), Agency AABK, Series 18805, File 18052559 |