| Regimental number | 38396 |
| Occupation | Cabinetmaker |
| Next of kin | Father, D Jackson, Chapel Street, Masterton |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 74 Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 6 |