| Regimental number | 11860 |
| Place of birth | Linton Victoria |
| Religion | Presbyterian |
| Occupation | Farmer grazier |
| Address | Rokewood, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, C E Jacka, Rokewood, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 3 |
| AWM Embarkation Roll number | 13/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
