| Regimental number | 22246 |
| Place of birth | Charles Towers Queensland |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 'Wyone', Clairvaux Road, Rose Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, G Jackson, 'Wyone,' Clairvaux Road, Rose Bay, New South Wales |
| Enlistment date | 20 September 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 21 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 14th Field Company Engineers |
| Fate | Returned to Australia 5 July 1919 |
