| Regimental number | 3551 |
| Place of birth | Hawkesbury River, New South Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Address | c/o Mrs A Jacobsen Mount Pleasant, Woy Woy, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs A Jacobsen, Mount Pleasant, Woy Woy, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on |
| Regimental number from Nominal Roll | 3551A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Army Casualty Clearing Station |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
Served three years 256 days (three years 104 days of which were spent abroad) War Service: Egypt, France. Hospitalised in England after being wounded in France |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
