| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | c/o C B Stack, 'Rialto', Milton Road, Cremorne, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Edith Jacques Colvin, c/o Stephen, Jacques and Stephen Solicitors, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
| Medals |
Military Cross Source: 'Commonwealth Gazette' No. 103 Date: |
| Other details | Medals: Military Cross, 1914-15 Star, British War Medal, Victory Medal |