| Regimental number | 57866 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Sawmiller |
| Address | c/o J Elder, Rosewood, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, A C Jacobs, c/o J Elder, Rosewood, Queensland |
| Enlistment date | 10 June 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 23 July 1919 |
