| Regimental number | 3632 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Loco engine driver |
| Address | c/o George Henry Hack, Chermside, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, George Henry Hack, c/o George Henry Hack, Chermside, Brisbane, Queensland |
| Enlistment date | 15 September 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
