| Regimental number | 58879 |
| Place of birth | Australia |
| Occupation | Law student |
| Next of kin | Mother, Mrs Nellie Jackson, Gummies Bush, Southland |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 29th Reinforcements, Otago Infantry Regiment, D Company |
| Embarkation details | Unit embarked from Wellington, New Zealand, on board SS Ruahine on |
| Sources | Nominal Roll Vol. 3: Roll 70, p. 13 |