| Regimental number | 2363 |
| Place of birth | Hobart Tasmania |
| Religion | Presbyterian |
| Occupation | Joiner |
| Address | 148 Charles Street, Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, W L Jack, 148 Charles Street, Launceston, Tasmania |
| Enlistment date | 27 July 1915 |
| Rank on enlistment | Sapper |
| Unit name | 3rd Field Company Engineers, Reinforcement 11 |
| AWM Embarkation Roll number | 14/22/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Field Company Engineers |
| Fate | Returned to Australia 3 July 1917 |
| Date of death | 7 August 1962 |
| Place of burial | Springvale Cemetery |
