| Regimental number | 4773 |
| Place of birth | Botany New South Wales |
| Religion | Church of England |
| Occupation | Wool washer |
| Address | Banks, Terrace Street, Botany, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs E Streeter, Banks, Terrace Street, Botany, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Given name Jack |
| Date of death | |
| Place of burial | Eastern Suburbs Memorial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
