| Regimental number | 7186 |
| Place of birth | Warwick Queensland |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Hendon, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Jensen, Hendon, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
