| Regimental number | 7250 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, C Jacobs, Ferris Street, South Melbourne, Victoria |
| Enlistment date | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/25/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 20 December 1917 |
| Date of death | 3 June 1956 |
| Place of burial | Fawkner Cemetery |