| Regimental number | 64208 |
| Occupation | Station hand |
| Next of kin | Mother, Mrs Caroline Jackson, Matawhero |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, Specialist Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 99 Athenic on |
| Final rank | Rifleman |
| Final unit | 2nd Battalion, New Zealand Rifle Brigade |
| Fate | Died of wounds |
| Age at death from cemetery records | 21 |
| Place of burial | Gezaincourt Communal Cemetery Extension (Plot II, Row O, Grave No 23), France |
| Miscellaneous information from cemetery records | Parents: Charles and Caroline Jackson, Matawhero, Poverty Bay |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 20 |