| Regimental number | 3494 |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | High Street, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, R Jarvis, High Street, Fremantle, Western Australia |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A24 Benalla on 1 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
