| Regimental number | 21350 |
| Place of birth | Auckland |
| Occupation | Labourer |
| Next of kin | Mother, Mrs C Jacobson, Titirangi, New Lynn, Auckland |
| Rank on embarkation | Corporal |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from New Zealand on board Aparima on |
| Final rank | Private |
| Final unit | 2nd Battalion, Auckland Infantry Regiment |
| Fate | Died of wounds |
| Age at death from cemetery records | 19 |
| Place of burial | Lille Southern Cemetery (Plot III, Row B, Grave No 36), Nord, France |
| Miscellaneous information from cemetery records | Parents: Clara Jacobson (formerly Tarlin), Titirangi, Auckland, and the late Alfred Tarlin |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 6 |