| Regimental number | 2116 |
| Date of birth | |
| Place of birth | Maryborough, Queensland |
| School | Albert State School, Maryborough, Queensland |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Queen Street, Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Catherine Elizabeth Dow, Queen Street, Maryborough, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 3 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |
| Family/military connections | Brother-in-law (future): 50649 Pte Frederick William JACOBSEN, 41st Bn, returned to Australia, 22 July 1919. |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 63 |
| Place of burial | Cremated: Springvale Crematorium, Melbourne, Victoria |