| Regimental number | 33887 |
| Occupation | Farmer |
| Next of kin | Brother, Joseph Jacobs, Panmure, Auckland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 74 Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 6 |