| Place of birth | Brighton Victoria |
| Religion | Church of England |
| Occupation | Traveller |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Henry William Jackson, 'Rosevean', Macauley Road, Stanmore, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 7th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/12/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A31 Ajana on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
