| Regimental number | 2213 |
| Place of birth | Jutland Denmark |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 32 Grey Street, St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Anna C Jensen, 32 Grey Street, St Kilda, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Recommendations (Medals and Awards) |
Military Medal (Altered to Mention in Despatches) Work near Harbonnieres on 8 August 1918. Awarded, and promulgated, 'London Gazette' No. 31089 (31 December 1918); 'Commonwealth Gazette' No. 61 (23 May 1919). Recommendation date: |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |