| Regimental number | 3897 |
| Place of birth | Stralhalbyn South Australia |
| Religion | Church of England |
| Occupation | Student |
| Address | Woodville, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, G A Jervois, Leighton, Woodville, South Australia |
| Previous military service | 78th Infantry |
| Enlistment date | 2 November 1917 |
| Rank on enlistment | Private |
| Unit name | 48th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/65/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 10 April 1919 |