| Regimental number | 24369 |
| Occupation | Farmer |
| Next of kin | Father, M Jackson, High Street, Masterton |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 64 Devon on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 17 |