| Regimental number | 2115 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Kingswood, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Joseph Jacques, Halsbury Avenue, Kingswood, South Australia |
| Previous military service | 28th Field Company Army Engineers |
| Enlistment date | 14 July 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st to 5th Divisional Signal Companies and Signallers November 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Regimental number from Nominal Roll | 21115 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 22 July 1919 |
