| Regimental number | 3070 |
| Place of birth | Swan Ck Queensland |
| Religion | Methodist |
| Occupation | Engine driver |
| Address | Mount Sturt, Killarney Line, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Jacob Jacobsen, casre of T Brewer, Mount Sturt, Killarney Line, Queensland |
| Enlistment date | 25 September 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/43/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 17 March 1917 |
