| Regimental number | 2854 |
| Place of birth | Glen Innes New South Wales |
| Religion | Salvation Army |
| Occupation | Blacksmith |
| Address | Lambeth Street, Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Martha Elizabeth Jacobs, Lambeth Street, Glen Innes, New South Wales |
| Previous military service | 13th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/50/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
