| Regimental number | 6092 |
| Place of birth | Gympie Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Chatsworth, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Agnes Eliza Jensen, Chatsworth, Gympie, Queensland |
| Enlistment date | 10 October 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A75 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 27 April 1919 |
