| Regimental number | 51 |
| Place of birth | Mossvale New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Cremona, Trafalgar Street, Stanmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Robert Henry Jervis, Cremona, Trafalgar Street, Stanmore, New South Wales |
| Enlistment date | 20 March 1916 |
| Date of enlistment from Nominal Roll | 24 December 1915 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 9 |
| AWM Embarkation Roll number | 24/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Regimental number from Nominal Roll | 50B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Machine Gun Battalion |
| Fate | Returned to Australia 12 June 1919 |
