| Date of birth | |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Ingera, Homebush Road, Homebush, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Marjorie Brougham Jacob, 'Meyrilk,' Burlinton Road, Homebush, New South Wales |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 6th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Promotions |
Captain Unit: 12th Artillery Battery AFA Promotion date: Temporary MAJ Promotion date: |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette' No. 31089 (31 December 1918); 'Commonwealth Gazette' No. 61 (23 May 1919). Companion of the Distinguished Service Order Recommendation date: |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
