| Regimental number | 683 |
| Place of birth | Stockholm Sweden |
| Religion | Protestant |
| Occupation | Timber getter |
| Address | Yarwun, North Coast Line, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Anders Jacobson, Hogergsgatan, Stockholm, Sweden |
| Enlistment date | 30 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 9, Reinforcement 11 |
| AWM Embarkation Roll number | 24/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 19 February 1919 |