| Regimental number | 3480 |
| Place of birth | Melrose, South Australia |
| Religion | Church of England |
| Occupation | Clerk and brewer |
| Address | Melrose, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Sarah Ann Jacka, Melrose, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Died as a result of accident |
| Place of death or wounding | Jordan Valley |
| Age at death | 29 |
| Age at death from cemetery records | 29 |
| Place of burial | Port Said War Memorial Cemetery (Row E, Grave No. 13), Egypt |
| Panel number, Roll of Honour, Australian War Memorial | 4 |
| Miscellaneous information from cemetery records | Parents: Joseph Henry and Sarah Ann JACKA, Melrose, South Australia |
| Family/military connections | Cousins: Staff Nurse Edith Amelia REED, Australian Army Nursing Service, returned to Australia, 22 March 1919; 8954 Gunner William Charles REED, 5th Field Artillery Brigade, returned to Australia, 10 April 1919; Sister Ruby Mabel JACKA, Australian Army Nursing Service, returned to Australia, 28 August 1919. |
| Other details |
War service: Egypt, Palestine Medals: British War Medal, Victory Medal |