| Regimental number | 29261 |
| Occupation | Shepherd |
| Next of kin | Mother, Mrs J W Jackson, Parnassus, North Canterbury |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 18th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 67 Tofua on |
| Sources | Nominal Roll Vol. 2: Roll 43, p. 9 |