| Regimental number | 3376 |
| Place of birth | Maryvale Queensland |
| Religion | Roman Catholic |
| Occupation | Farm labourer |
| Address | Maryvale, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Elizabeth Jacob, Gladfield via Warwick, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 8 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
