| Regimental number | 17346 |
| Place of birth | Surrey Hills Victoria |
| Religion | Presbyterian |
| Occupation | Student |
| Address | Toora, South Gippsland, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, H A Jacobs, Toora, South Gippsland, Victoria |
| Previous military service | M U Rifles |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
