| Regimental number | 62873 |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Mt Barker, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, T St Jack, Mt Barker, Western Australia |
| Enlistment date | 18 June 1918 |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Boonah on 29 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |