| Regimental number | 6072 |
| Religion | Presbyterian |
| Occupation | Printer |
| Address | Parfitt Road, Wangaratta, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A A Jackson, Parfitt Road, Wangaratta, Victoria |
| Previous military service | 16th Light Horse |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
