| Regimental number | 2646 |
| Place of birth | Parramatta New South Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Fordsdale, via Grantham, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, John Jackson, Fordsdale, via Grantham, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/7/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on |
| Regimental number from Nominal Roll | 2646A |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia |
| Other details |
War service: Middle East Medals: British War Medal, Victory Medal |