| Regimental number | 3786 |
| Place of birth | Burnley England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs S E Jacques, Soissett, Yorkshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/24/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, Western Front Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 39 |
| Place of burial | Bendigo Cemetery, Victoria |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
