| Regimental number | 3143 |
| Place of birth | Strathbogie Victoria |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, J Jacka, Castle Creek, Euroa, Victoria |
| Enlistment date | 29 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 15 May 1919 |
