| Regimental number | 1967 |
| Place of birth | 53 Grange/Union Street, Southwark, London |
| Religion | Roman Catholic |
| Occupation | Book packing |
| Address | c/o Mrs Butterworth, 180 Phillip Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M A Jackson, 73 Queen's Buildings Collison Street, Southwark, London, SE England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 5th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Parents: James and Mary Ann JACKSON |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | London |