| Regimental number | 233 |
| Place of birth | Lucknow New South Wales |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Uralla, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Emily L Jacobs, c/o R H Roberts, storekeeper, Uralla, New South Wales |
| Enlistment date | 28 March 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, A Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Company Sergeant Major |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Effective abroad (still overseas) |