| Regimental number | 21270 |
| Occupation | Cabinetmaker |
| Next of kin | Mother, Mrs Joshua Jackson, O'Rorke Avenue, Remuera, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from New Zealand on board Aparima on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 8 |