| Regimental number | 21808 |
| Place of birth | Durban Africa |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | Strathfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, W J Jackson, 'Waratah', Clarendon Road, Strathfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | a Dental Ser |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
