| Regimental number | 1384 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 57 Stanley Street, Darlinghurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Brother, E Jackson, 57 Stanley Street, Darlinghurst, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, D Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
