| Regimental number | 1172 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Timber hewer |
| Address | 70 Adelaide Road, Leyton, Essex, England |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Charles Jackson, 70 Adelaide Road, Leyton, Essex, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, D Company |
| AWM Embarkation Roll number | 23/45/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death |