| Regimental number | 8042 |
| Place of birth | Bendigo Victoria |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | 76 McIvor Road, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J H Jackson, 76 McIvor Road, Bendigo, Victoria |
| Enlistment date | 2 May 1915 |
| Date of enlistment from Nominal Roll | 21 May 1915 |
| Rank on enlistment | Driver |
| Unit name | Army Service Corps 18, Reinforcement 1 |
| AWM Embarkation Roll number | 25/37/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 10 November 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 8 May 1919 |
