| Regimental number | 2591 |
| Place of birth | Newcastle Western Australia |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | High Street, East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Sarah Annie Jarivs, High Street, East Fremantle, Western Australia |
| Enlistment date | 10 July 1916 |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/61/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 44th Battalion |
| Fate | Returned to Australia 21 June 1919 |