| Regimental number | 2523 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Chemist's assistant |
| Address | Ocean Road, Cottesloe, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Albert Walter Jackson, Ocean Road, Cottesloe Beach, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
