| Regimental number | 2826 |
| Religion | Methodist |
| Occupation | Butcher |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, William George Jackson, Fullerton Road, Parkside, South Australia |
| Enlistment date | 27 September 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
