| Regimental number | 27018 |
| Occupation | Slaughterman |
| Next of kin | Father, J B Jackson, 39 Park Road, Addington, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on board Pakeha on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 12 |