| Regimental number | 1050 |
| Place of birth | St Albans Tasmania |
| Religion | Church of England |
| Occupation | Miner |
| Address | Karoola, Tasmania |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Henry Jackson, Karoola, Tasmania |
| Enlistment date | 17 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps, Company 3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 20 February 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia 12 July 1919 |
