| Regimental number | 4524 |
| Place of birth | Bundaberg Queensland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Baylis Street, Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Mr G E Jacobs, Toowong, Brisbane, Queensland |
| Enlistment date | 18 October 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on 3 February 1916 |
| Regimental number from Nominal Roll | R4524 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 24 December 1918 |
