| Regimental number | 657 |
| Place of birth | Victor Harbor South Australia |
| Religion | Congregational |
| Occupation | Carpenter |
| Address | Bridge Terrace, Victor Harbor, South Australia |
| Marital status | Married |
| Age at embarkation | 47 |
| Next of kin | Wife, Mrs Eliza Jane Jarvis, Bridge Terrace, Victor Harbor, South Australia |
| Enlistment date | 21 September 1915 |
| Rank on enlistment | Sergeant |
| Unit name | Australian Remount Unit 1, Squadron 3 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A67 Orsova on 12 November 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia 24 June 1916 |
