| Regimental number | 4812 |
| Place of birth | Kyneton Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Brother, Mr R Jacobson, Ambulance Corps, Ipswich, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Died of wounds |
| Place of burial | Bernafay Wood British Cemetery (Row H, Grave No. 42), Montauban, France |
| Panel number, Roll of Honour, Australian War Memorial | 164 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |