| Regimental number | 6529 |
| Place of birth | Collingwood Victoria |
| Religion | Presbyterian |
| Occupation | Law clerk |
| Address | Moorhouse Street, West Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Louis Jacobson, Moorhouse Street, West Richmond, Victoria |
| Enlistment date | 17 June 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Motor Transport Company |
| Fate | Returned to Australia 13 July 1919 |
