| Regimental number | 3302 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Marine fireman |
| Address | 14 Albion Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Next of kin | Father, W A Jackson, 14 Albion Street, Paddington, Sydney, New South Wales |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
