| Regimental number | 3363 |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Brother, N Jenson, 6 Strommen Randers, Denmark |
| Enlistment date | 14 November 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 5 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |