| Regimental number | 560 |
| Place of birth | Dandenong Victoria |
| Religion | Methodist |
| Occupation | Fireman |
| Address | Balaclava, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Leonard Jacobson, 18 Bowen Street, Balaclava, Victoria |
| Enlistment date | 31 January 1917 |
| Rank on enlistment | Private |
| Unit name | Railway Unit, Section 2 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Railway Operating Company |
| Fate | Returned to Australia 1 July 1919 |