| Regimental number | 2994 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Shop manager |
| Address | 94 The Corse, Manly, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Hanna Jacobs, Sararaceus Hotel, Adelaide, South Australia |
| Enlistment date | 17 March 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Field Ambulance |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 31 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Effective abroad (still overseas) |
| Other details | Arrived in Australia 1911. Parents: Alfred and Hannah (nee Jacobs). Married Lousia Theresa Rowan, 1917. |
| Date of death | 13 March 1936 |
| Place of burial | Rookwood Necropolis |