| Regimental number | 2104 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Ringarooma, Tasmania |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Frederick Jacobs, Ringarooma, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/57/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A49 Seang Choon on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
