| Regimental number | 20304 |
| Place of birth | Sussex England |
| Religion | Church of England |
| Occupation | Chauffeur |
| Address | Mansfield, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, G Jacques, Rake, East Liss, Hampshire, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 8, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
