| Regimental number | 3673 |
| Place of birth | Wodonga Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Campsie, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, William James Jackson, Eighth Avenue, Campsie, New South Wales |
| Enlistment date | 18 August 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/72/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Regimental number from Nominal Roll | 3673A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 31 March 1919 |
