| Regimental number | 425 |
| Place of birth | Montagu Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Montague, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, John Jackson, Montague, Tasmania |
| Enlistment date | 24 February 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, B Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on 1 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 15 June 1919 |