| Regimental number | 358 |
| Place of birth | Milton New South Wales |
| Religion | Protestant |
| Occupation | Farmer |
| Address | Lilian Rock, Nimbin Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Mr J Jackson, Lilian Rock, Nimbin Lismore, New South Wales |
| Enlistment date | 1 September 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, C Company |
| AWM Embarkation Roll number | 23/26/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A5 S.S. Omrah on 24 September 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 16 October 1918 |