| Regimental number | 2363 |
| Place of birth | Hobart Tasmania |
| Religion | Presbyterian |
| Occupation | Joiner |
| Address | 148 Charles Street, Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, W L Jack, 148 Charles Street, Launceston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 3rd Field Company Engineers, Reinforcement 11 |
| AWM Embarkation Roll number | 14/22/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Field Company Engineers |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
