| Regimental number | 870 |
| Religion | Unitarian |
| Occupation | Labourer |
| Address | East Terrace, Kensington Gardens, Burnside, Adelaide |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Florence Edith Jacobs, East Terrace, Kensington Gardens, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
