| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Rose Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, G Jackson, Wyone, Clarivaux Road, Rose Bay, New South Wales |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | Staffs in Charge Italian Reservists No 3 Draft |
| AWM Embarkation Roll number | 34/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
