| Regimental number | 27594 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Moorah, Mt Gambier, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W H Jacquier, Moorah, Mt Gambier, South Australia |
| Previous military service | 22nd A L H |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 1, Reinforcement 20 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A30 Borda on 20 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 20 December 1919 |