| Regimental number | 3540 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W. Jackson, Argent lane, off Sabina Street, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 34th Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
| Date of death | |
| Age at death | 56 |
| Place of burial | AIF Cemetery (Row 7, Grave No. 43), West Terrace, Adelaide, South Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
