| Regimental number | 35624 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | 26 Walter Street, Leichhardt, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, George T Jackson, 26 Walter Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | 19 December 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, May 1917 Reinforcements |
| AWM Embarkation Roll number | 13/128/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 23 March 1919 |
