| Regimental number | 1738 |
| Place of birth | Staffordshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bagot Street, Abbots, Bromley, Staffshire, England |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, George Jackson, Bagot Street, Abbots, Bromley, Staffshire, England |
| Enlistment date | 19 June 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A64 Demosthenes on 23 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 8 April 1919 |
