| Regimental number | 24/191 |
| Address | Sar Street, Highland Park, Thorndon, Wellington |
| Marital status | Single |
| Next of kin | Father, Robert Douglas Jackson-Fowler, Sar Street, Highland Park, Thorndon, Wellington |
| Rank on embarkation | Rifleman |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 2nd Battalion, A Company |
| Embarkation details | Unit embarked from Wellington on |
| Final rank | Rifleman |
| Final unit | 2nd Battalion, New Zealand Rifle Brigade |
| Fate | Killed in Action |
| Place of burial | Gouzencourt New British Cemetery (Plot I, Row A, Grave No 3), France |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Miscellaneous details | Nominal Roll Vol. 1: A Company/2nd NZRB |