| Regimental number | 898 |
| Place of birth | Petersham New South Wales |
| Religion | Church of England |
| Occupation | Dairy farmer |
| Address | 73 Brighton Street, Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | F W Jacobs, 73 Brighton Street, Petersham, New South Wales |
| Enlistment date | 1 September 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, D Company |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 13 February 1917 |
