| Regimental number | 6378 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Wagga Wagga, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs. I. Jacob, Linolett Street, Albury, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Died of wounds |
| Place of burial | Dernancourt Communal Cemetery Extension (Plot VI, Row C, Grave No. 2), France |
| Panel number, Roll of Honour, Australian War Memorial | 40 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
