| Regimental number | 23/464 |
| Address | Kensington, Whangarei |
| Marital status | Single |
| Next of kin | Father, D W Jack, Draper, Whangarei |
| Rank on embarkation | Lance Corporal |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Samoan Advance Party, B Company |
| Embarkation details | Unit embarked from Wellington on |
| Members of B Company left New Zealand on board two ships, HMNZT 1 'Moeraki' and HMNZT 2 'Monowai'. It is not possible from the Nominal Roll to determine on which ship an individual embarked. | |
| Final rank | Corporal |
| Final unit | 1st Battalion, New Zealand Rifle Brigade |
| Fate | Killed in Action |
| Age at death from cemetery records | 24 |
| Place of burial | No known grave |
| Commemoration details | Caterpillar Valley (New Zealand) Memorial, Longueval, France |
| Miscellaneous information from cemetery records | Parents: Donald William and Harriett Elizabeth Jack, Whangarei, Auckland |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Miscellaneous details | Nominal Roll Vol. 1: B Company/Samoan Adv & 1st NZRB |