| Regimental number | 3644 |
| Place of birth | Wyrallah New South Wales |
| Religion | Church of England |
| Occupation | School teacher |
| Address | 5 The Avenue, Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, James Jacobs, Public School, Cessnock, New South Wales |
| Enlistment date | 28 April 1917 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 12 July 1919 |
