| Regimental number | 4633 |
| Place of birth | Beverley, Western Australia |
| School | Beverley State School, Wa |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Beverley, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Mrs A Jackson, Beverley, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Died of wounds |
| Place of death or wounding | France |
| Age at death | 24 |
| Place of burial | Puchevillers British Cemetery (Plot I, Row E, Grave No. 71), France |
| Panel number, Roll of Honour, Australian War Memorial | 146 |
| Miscellaneous information from cemetery records | Parents: Alfred Augustus and Enorah JACKSON. Native of Beverley, Western Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
