| Regimental number | 2838 |
| Place of birth | Subiaco Western Australia |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | 8 Catherine Street, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, John Francis Jack, 8 Catherine Street, Subiaco, Western Australia |
| Enlistment date | 6 October 1916 |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/61/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Persic on 29 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 44th Battalion |
| Fate | Returned to Australia 12 December 1918 |
