| Regimental number | 1839 |
| Place of birth | Hobart, Tasmania |
| School | Albeura State School, Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Upholsterer |
| Address | 40 St Georges Terrace, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Elizabeth Jack, 40 St Georges Terrace, Hobart, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Excellent services as despatch runner at Pozieres. Recommendation date: |
| Fate | Died of wounds |
| Place of death or wounding | Pozieres, Somme Sector, France |
| Age at death | 22 |
| Age at death from cemetery records | 22 |
| Place of burial | Puchevillers British Cemetery (Plot I, Row F, Grave No. 52), France |
| Panel number, Roll of Honour, Australian War Memorial | 66 |
| Miscellaneous information from cemetery records | Parents: Charles Robert and Elizabeth JACK, 27 Queens Street, Sandy Bay, Tasmania. Native of Hobart, Tasmania |