| Regimental number | 4160 |
| Place of birth | Northumberland New South Wales |
| Religion | Presbyterian |
| Occupation | Farm hand |
| Address | Mosman, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Son, Miss F A Jacob c/o Mrs H W Wright, 'Light Cliff', Raglan Street, Mosman, Sydney, New South Wales |
| Enlistment date | 15 November 1915 |
| Date of enlistment from Nominal Roll | 4 November 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 4 May 1917 |
