| Regimental number | 27193 |
| Place of birth | Smithtown New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Smithtown, MacLeay River, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, S A Jackson, Smithtown, MacLeay River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 20 |
| AWM Embarkation Roll number | 13/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |