| Regimental number | 3/1045 |
| Address | 12 James Place, Mornington, Dunedin |
| Marital status | Single |
| Next of kin | Father, Robert Jackson, 12 James Place, Mornington, Dunedin |
| Rank on embarkation | Sergeant |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 1st Battalion, New Zealand Rifle Brigade, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on 9 October 1915 |
| The Medical Corps attached to the 1st Battalion, New Zealand Rifle Brigade, departed New Zealand on board five ships (HMNZT 30 'Maunganui', HMNZT 31 'Tahiti', HMNZT 32 'Aparima', HMNZT 33 'Navua', and HMNZT 34 'Warrimoo'. It is not possible from the Nominal Roll to determine on which ship an individual embarked. |
| Miscellaneous details | Nominal Roll Vol. 1: Medical Corps/NZRB |
