| Regimental number | 1721 |
| Place of birth | Richmond Victoria |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | 226 Bridge Road, Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Brother, Henry Jackman, 226 Bridge Road, Richmond, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
