| Regimental number | 1364 |
| Place of birth | Rockhampton Queensland |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | c/o Mrs M E Jackson, Eddington Street, North Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Winnie E Jackson, Eddington Street, North Rockhampton, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/26/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Seang Bee on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
