| Regimental number | 6142 |
| Place of birth | Cumnock New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ponto, via Geurie, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr J Jackson, Ponto, via Geurie, New South Wales |
| Enlistment date | 15 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Effective abroad (still overseas) |
