| Regimental number | 51219 |
| Occupation | Farmer |
| Next of kin | Brother, A Jacobs, Omoto Road, Greymouth |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (First Draft), Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 87 Tahiti on |
| Final rank | Private |
| Final unit | 1st Battalion, Canterbury Infantry Regiment |
| Fate | Killed in Action |
| Age at death from cemetery records | 35 |
| Place of burial | Beaulencourt British Cemetery (Plot III, Row H, Grave No 14), Ligny-Thilloy, France |
| Miscellaneous information from cemetery records | Parents: William and Mary Ann Jacobs, Kaiata, Greymouth |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 18 |