| Regimental number | 4515 |
| Place of birth | Glebe point, Sydney, New South Wales |
| School | Forest Lodge Public School, New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs B Williams, Fernmount Graceville Street, Randwick, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Killed in Action |
| Place of death or wounding | France |
| Age at death | 26 |
| Age at death from cemetery records | 26 |
| Place of burial | Rue-Du-Bois Military Cemetery (Plot I, Row B, Grave No. 18), Fleurbaix, France |
| Panel number, Roll of Honour, Australian War Memorial | 56 |
| Miscellaneous information from cemetery records | Parents: Berent and Jane JACOBSON. Native of Glebe Point, New South Wales |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |