| Regimental number | 2133 |
| Place of birth | Benalla Victoria |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Bungeet via Devenish, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, William Jack, Bungeet via Devenish, Victoria |
| Enlistment date | 3 May 1916 |
| Date of enlistment from Nominal Roll | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 6 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Headquarters |
| Fate | Returned to Australia 18 July 1919 |
