| Regimental number | 7651 |
| Place of birth | Exeter England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 'Northlew', Bratton-Clovelly, Devonshire, England |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, R Jackman, 'Northlew', Bratton-Clovelly, Devonshire, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 5, Battery 15 |
| AWM Embarkation Roll number | 13/33/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Recommendations (Medals and Awards) |
Military Medal 'Work on 17 October 1917 in Hannebek Valley.' Recommendation date: Mention in Corps Routine Orders Recommendation date: |
| Fate | Returned to Australia |