| Regimental number | 1181 |
| Place of birth | Korsor Denmark |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | Mornington, Western Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, Jans Jacobsen, Tyeveby, Korson, Denmark |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, D Company |
| AWM Embarkation Roll number | 14/15/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Pioneer Battalion |
| Fate | Died of wounds |
| Place of death or wounding | France |
| Age at death | 34 |
| Age at death from cemetery records | 33 |
| Place of burial | Tincourt New British Cemetery (Plot V, Row F, Grave NO. 9), France |
| Panel number, Roll of Honour, Australian War Memorial | 173 |
| Miscellaneous information from cemetery records | Jens and Dorothea JORGENSEN |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
