| Regimental number | 6357 |
| Religion | Church of England |
| Occupation | Barman |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, A Jensen, 2 Great Poulteney Street, golden Square, London W., England |
| Enlistment date | 16 October 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |