| Regimental number | 30814 |
| Occupation | Gardener |
| Next of kin | Wife, Mrs C J Jackson, Dominion Road, Auckland |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (1st Draft), Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from Wellington on board Port Lyttelton on |
| Harbour records indicate that the actual date of sailing was 8 December 1916. | |
| Final rank | Private |
| Final unit | 1st Battalion, Auckland Infantry Regiment |
| Fate | Died of wounds |
| Age at death from cemetery records | 33 |
| Place of burial | Wimereux Communal Cemetery (Plot II, Row M, Grave No 3), France |
| Miscellaneous information from cemetery records | Wife: C.J. Jackson, 4 Broadwater Estate, Godalming |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 47, p. 2 |