| Regimental number | 1909 |
| Place of birth | Malvern Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Upper Ferntree Gully, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Miriam Jensen, Upper Ferntree Gully, Victoria |
| Enlistment date | 19 February 1917 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 6 May 1919 |
