| Regimental number | 66009 |
| Religion | Presbyterian |
| Occupation | Fuel merchant |
| Address | Lakemba, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, J Jackson, Sproule Street, Lakemba, New South Wales |
| Enlistment date | 6 July 1918 |
| Date of enlistment from Nominal Roll | 31 August 1915 |
| Rank on enlistment | Sergeant |
| Unit name | 16th to 27th (NSW) Reinforcement |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 8 July 1919 |
