| Regimental number | 2613 |
| Place of birth | Essex England |
| Religion | Church of England |
| Occupation | Agent |
| Address | Narromine, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, E W Jaques, Tremadoc Road, Appin, London, SW, England |
| Enlistment date | 17 November 1915 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Effective abroad (still overseas) |
