| Regimental number | 795 |
| Place of birth | Tamworth New South Wales |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Moree, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, G Jacobs, West Tamworth, New South Wales |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | 31 December 1915 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, C Company |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 11 May 1919 |
