| Regimental number | 68824 |
| Place of birth | Buckley Victoria |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Winchelsea, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, J W Jackson, Winchelsea, Victoria |
| Enlistment date | 13 June 1918 |
| Rank on enlistment | Private |
| Unit name | 15th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
