| Regimental number | 58115 |
| Place of birth | Sunderland England |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | Hanworth Street, East Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J W Jack, Hanworth Street, East Brisbane, Queensland |
| Enlistment date | 6 June 1918 |
| Rank on enlistment | Private |
| Unit name | 6th (Queensland) Reinforcements |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 6 September 1919 |