| Regimental number | 3570 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Moulder |
| Address | 260 Brisbane Street, Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S Jacques, 260 Brisbane Street, Launceston, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Recommendations (Medals and Awards) |
Unspecified Refers Moquet farm 1916. Recommendation date: |
| Fate | Killed in Action |
| Place of burial | Courcelette British Cemetery (Plot VI, Row G, Grave No. 5), France |
| Panel number, Roll of Honour, Australian War Memorial | 155 |