| Regimental number | 3604 |
| Date of birth | |
| Place of birth | Melrose, South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Wayville West, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Olga Jacka, c/o Mrs T Spratt, Welland Avenue, Welland, South Australia |
| Enlistment date | |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 32nd Reinforcement |
| AWM Embarkation Roll number | 10/14/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia |
| Family/military connections | Sister: Sister Ruby Mabel JACKA, Australian Army Nursing Service, returned to Australia, 28 August 1919; Cousins: 2474 Lance Corporal Leslie Melrose ROBINSON, 5th Pioneer Bn, effective abroad; 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; 3480 Pte Clement Belmore JACKA, 3rd Light Horse Regiment, died as a result of accident, 16 October 1918. |
| Other details |
War service: Middle East Medals: British War Medal, Victory Medal |
| Date of death |