| Regimental number | 2690 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Electrician |
| Address | Kincora, Bay View, Claremont, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, John Badger Jackson, 63 Salisbury Road, Kilbourne, London Ec, England |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 15 February 1918 |
