| Regimental number | 6043 |
| Place of birth | Smythesdale Victoria |
| Religion | Roman Catholic |
| Occupation | Compositor |
| Address | Berringa Post Office via Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, William Jackson, Berringa Post Office, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Trench Mortar Battery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
