| Regimental number | 2363 |
| Place of birth | St Kilda Victoria |
| Religion | Jewish |
| Occupation | Farmer |
| Address | 8 Rose Street, North Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Edwin Jacobs, Rose Street, North Perth, Western Australia |
| Enlistment date | 30 November 1915 |
| Date of enlistment from Nominal Roll | 13 November 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on 16 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 4 March 1919 |
