| Regimental number | 16306 |
| Occupation | Storekeeper |
| Next of kin | Father, John Bowers Jackson, Amy Street, Ellerslie, Auckland |
| Rank on embarkation | Quartermaster Sergeant |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, New Zealand Mounted Rifles Brigade |
| Embarkation details | Unit embarked from Wellington on board Moeraki on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 1 |