| Regimental number | 9671 |
| Place of birth | South Bank Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Thomas Street, West End, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs H R Jack, Thomas Street, West End, South Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Field Ambulance, 10th Reinforcements |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Albany Creek Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
