| Regimental number | 2135 |
| Place of birth | Dago Russia |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | Ellendale, Terrace, Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Luso Jackson, Dago, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 3 |
| AWM Embarkation Roll number | 14/17/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT Seang Bee on |
| Regimental number from Nominal Roll | 2135A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
