| Regimental number | 12/2613 |
| Occupation | Law clerk |
| Next of kin | Wife, Mrs A B Jackson, 21st Southern General Hospital, Dudley Road, Birmingham, England |
| Rank on embarkation | 2nd Lieutenant |
| Unit name | New Zealand Expeditionary Force, 35th Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 101 Tofua on |
| Other details | Ex 6th Reinforcements |
| Miscellaneous details | See other entry. |
| Sources | Nominal Rolls Vol. 4: Roll 80, p. 9 |