| Regimental number | 19529 |
| Place of birth | Bendigo Victoria |
| Religion | Presbyterian |
| Occupation | Railway employee |
| Address | East Caulfield, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, J Southwick, 8 Seymour Avenue, East Caulfield, Victoria |
| Enlistment date | 17 February 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Effective abroad (still overseas) |
| Miscellaneous details (Nominal Roll) | *Given name Robert Jack |
