| Regimental number | 166 |
| Place of birth | Serviceton Victoria |
| Religion | Church of England |
| Occupation | Warehouseman |
| Address | St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, J L Jacobs, Aldgate, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
