| Place of birth | Melbourne Victoria |
| Religion | Jewish |
| Occupation | Agent |
| Address | St Kilda, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Mr John Jacobs, 9 Queen Street, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 21st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Moldavia on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
