| Regimental number | 360 |
| Religion | Church of England |
| Occupation | Upholsterer |
| Address | 551 Chapel Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, William Jackson, Yorkshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, E Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
