| Regimental number | 14990 |
| Occupation | Farmer |
| Next of kin | Mother, Mrs Edith Jackson, Springlands, Blenheim |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 14th Reinforcements, Canterbury Infantry Battalion, C Company |
| Embarkation details | Unit embarked from Wellington on |
| Members of 14th Reinforcements, Canterbury Infantry Battalion, C Company, left Wellington on two ships, 'Maunganui' and 'Tahiti'. It is not possible to determine from the Nominal Roll on which ship an individual embarked. | |
| Final rank | Private |
| Final unit | 2nd Battalion, Canterbury Infantry Reginment |
| Fate | Killed in Action |
| Place of burial | No known grave |
| Commemoration details | Messines Ridge (New Zealand) Memorial, Belgium |
| Miscellaneous information from cemetery records | Parents: Adam Watson Jackson and Edith Jackson, Springlands, Blenheim |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 34, p. 11 |