| Regimental number | 6077 |
| Place of birth | Bradford England |
| Religion | Church of England |
| Occupation | Porter |
| Address | 13 Regent Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, David Jackson, Scraven Hurst Parrow, Cape Colony, South Africa |
| Enlistment date | 24 May 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Effective abroad (still overseas) |