| Regimental number | 953 |
| Other Names | Jacobsen |
| Religion | Methodist |
| Occupation | Carter |
| Address | 20 Aberdeen Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, Jacobson Jacob, Province Finland, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, C Company |
| AWM Embarkation Roll number | 23/45/1 |
| Embarkation details | Unit embarked from |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A36 on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Died of wounds |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |