| Regimental number | 1850 |
| Place of birth | Lismore New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Alice Jacobson, Gerard Hill, Lismore, New South Wales |
| Previous military service | 12th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |