| Regimental number | 56095 |
| Place of birth | Adelaide South Australia |
| Religion | Congregational |
| Occupation | Student |
| Address | North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, H L Jackman, Stanley Street, North Adelaide, South Australia |
| Previous military service | 80th Infantry |
| Enlistment date | 30 May 1918 |
| Rank on enlistment | Private |
| Unit name | 1 to 6 (SA) Reinforcements (May-Oct 1918) |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A74 Marathon on 23 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 26 February 1919 |
