| Regimental number | 1051 |
| Place of birth | Evandale Tasmania |
| Religion | Church of England |
| Occupation | Blacksmith and miner |
| Address | Underwood, Tasmania |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, Henry Jackson, Underwood, Tasmania |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps, Company 3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 62 Date: |