| Regimental number | 9879 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | c/o Mrs T Jacob, Undercliffe Road, Wanstead, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Aunt, Miss C Jacobs, c/o T Jacobs, Undercliffe Road, Wanstead, New South Wales |
| Enlistment date | 18 October 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 13 |
| AWM Embarkation Roll number | 13/29/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 17 December 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 20 April 1919 |
| Date of death | 14 February 1965 |
| Place of burial | Woronora Crematorium |
