| Regimental number | 2069 |
| Religion | Church of England |
| Occupation | Packer |
| Address | 18 Princes Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Horace William Jackson, 18 Princes Street, North Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | |
| Place of burial | Northern Suburbs Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
