| Regimental number | 2621 |
| Place of birth | Beverley Western Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Beverley, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Alfred Augustus Jackson, Main Camp, Beverley, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Karrakatta Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
