| Regimental number | 1566 |
| Place of birth | Targabad India |
| Religion | Church of England |
| Occupation | Motor engineer |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Annie Lucy Jacob, Grand Hotel Missoorie, India |
| Enlistment date | 24 November 1914 |
| Date of enlistment from Nominal Roll | 26 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMATA49 Seang Choon on 11 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 16 March 1919 |
