| Regimental number | 6507 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 'Allawah', Peters Street, Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Uncle, W J Jacob, 'Allawah', Peters Street, Wagga, New South Wales |
| Previous military service | 16th Battery Australian Field Artillery |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | Field Artillery Brigade 4, Battery 11 |
| AWM Embarkation Roll number | 13/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Died of wounds |
| Place of burial | Lijssenthoek Military Cemetery (Plot XXI, Row B, Grave No. 19), Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 13 |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
