| Regimental number | 2665 |
| Place of birth | Granville New South Wales |
| Religion | Church of England |
| Occupation | Saddler |
| Address | Sydney Road, Granville, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Hanna Jacobs, Gray Street, Granville, New South Wales |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 15 February 1918 |
| Date of death | 25 June 1966 |
| Place of burial | Rookwood Crematorium |
