| Regimental number | 15816 |
| Place of birth | Talgarno Victoria |
| Religion | Methodist |
| Occupation | Mechanic |
| Address | Haberfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W S Jarvis, 8 Turner Avenue, Haberfield, New South Wales |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 18 October 1917 |
