| Regimental number | 4300 |
| Religion | Church of England |
| Occupation | Electrician |
| Address | 99 Pitt Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Mr C E Jackson, 99 Pitt Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Motor Transport Company |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | Returned to Australia at his own expense |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
