| Regimental number | 6041 |
| Place of birth | Carlisle England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Babinda, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | sister, L A Jackson, 12 Warwick Road, Carlisle, England |
| Enlistment date | 9 February 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 8 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 19 October 1917 |
| Miscellaneous details (Nominal Roll) | *Stated to be George Holme Jackson on NR |