| Regimental number | 621 |
| Place of birth | South Head, Woollahra, New South Wales |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Campsie Street, Campsie, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs A Jack, Campsie Street, Campsie, New South Wales |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | 13th Battalion, F Company |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Parents: Andrew William and Harriett Rebecca JACK |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 59 |
| Place of burial | Died at Randwick, New South Wales |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
