| Regimental number | 23/1696 |
| Occupation | Railway signaller |
| Next of kin | Father, Robert Jackson, Manukau Road, Parnell, Auckland |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Rifle Brigade, 1915, 3rd Reinforcements of 1st Battalion, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 38 Tahiti on |
| Sources | Nominal Roll Vol. 2: Roll 16, p. 3 |