| Regimental number | 15351 |
| Place of birth | Forest Reefs New South Wales |
| Religion | Church of England |
| Occupation | Draper |
| Address | Millthorpe, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Alfred Jarvis, Cowper Street, Harris Park, New South Wales |
| Enlistment date | 3 February 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 21 |
| AWM Embarkation Roll number | 22/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia 23 July 1919 |