| Regimental number | 1614 |
| Place of birth | Bothwell Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mangalore, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J Jacques, Mangalore, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, Gallipoli, Western Front Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
