| Regimental number | 2033 |
| Place of birth | Sale Victoria |
| Religion | Church of England |
| Occupation | Electrician |
| Address | Topping Street, Sale, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J Jacobs, Topping Street, Sale, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | 2nd Field Ambulance, Reinforncement 4 |
| AWM Embarkation Roll number | 26/45/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
