| Regimental number | 66014 |
| Place of birth | Cooma, New South Wales |
| School | Junee Superior Public School |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Griffith via Hay, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, H Jack, Junee PO, Junee, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th to 27th (NSW) Reinforcement |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | General Service Reinforcements |
| Other details from Roll of Honour Circular | Died in the Military Hospital in Sierra Leone |
| Fate | Died of disease |
| Place of death or wounding | Sierra Leone |
| Age at death | 20 |
| Place of burial | Freetown (King Tom) Cemetery (Row 2, Grave No. 201), West Africa |
| Panel number, Roll of Honour, Australian War Memorial | 185 |
| Miscellaneous information from cemetery records | Parents: Henry John and Elizabeth Harrett JACK |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
