| Regimental number | 3173 |
| Place of birth | Norwood South Australia |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Woodiville, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, George Arthur Jervois, Woodville, South Australia |
| Enlistment date | 29 November 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Karmala on 8 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 28 January 1919 |
