| Regimental number | 3333 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Pimlico, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J Jackson, Pimlico, Ballina, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Seang Bee on |
| Regimental number from Nominal Roll | 3335 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 67 |
| Place of burial | Ballina East Cemetery, New South Wales |