| Regimental number | 37733 |
| Place of birth | Glenorchy Tasmania |
| Religion | Presbyterian |
| Occupation | Orchardist |
| Address | Glenorchy, Tasmania |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Samuel William Jacques, Glenorchy, Tasmania |
| Enlistment date | 19 February 1917 |
| Date of enlistment from Nominal Roll | 15 February 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 30 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 4 June 1919 |
