| Regimental number | 30593 |
| Occupation | Builder |
| Next of kin | Mother, Mrs C C Jacobson, 43 Stanley Street, Wellington |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (1st Draft), Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board Port Lyttelton on |
| Harbour records indicate that the actual date of sailing was 8 December 1916. | |
| Final rank | Lance Corporal |
| Final unit | 3rd Battalion, Wellingtron Infantry Regiment |
| Fate | Killed in Action |
| Age at death from cemetery records | 33 |
| Place of burial | No known grave |
| Commemoration details | Tyne Cot Memorial (New Zealand Apse, Panel No 6), Belgium |
| Miscellaneous information from cemetery records | Parents: John Alfred and Caroline Charlotte Jacobson, 43 Stanley Street, Berhampore, Wellington |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 47, p. 5 |