| Regimental number | 2348 |
| Place of birth | Lancashire England |
| Religion | Church of England |
| Occupation | Builders labourer |
| Address | Mary Street, Morningside, Queenslanda |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Henry Jackson, Highfield Street, Middleton, Lancashire, England |
| Enlistment date | 19 October 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/10/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 5 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia 19 August 1919 |
