| Regimental number | 5124 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Fisherman |
| Address | Tarraville PO, South Gippsland, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S Jacobson, Tarraville PO, South Gippsland, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Effective abroad (still overseas) |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Yarram Cemetery |