| Regimental number | 1053 |
| Place of birth | Maryborough, Victoria |
| School | Maryborough State School, Victoria |
| Religion | Church of England |
| Occupation | Farrier |
| Address | c/o Mrs P Jacobsen, Bourke Street, Maryborough, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs P Jacobsen, Bourke Street, Maryborough, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, G Company |
| AWM Embarkation Roll number | 23/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Other details from Roll of Honour Circular | Died whilst returning to Australia |
| Fate | Returned to Australia |
| Place of death or wounding | Gallipoli, Turkey |
| Place of burial | No known grave |
| Commemoration details | Hollybrook Memorial, Southampton, England |
| Panel number, Roll of Honour, Australian War Memorial | 76 |