| Regimental number | 59987 |
| Place of birth | Copenhagen Denmark |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | Pyrmont, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Brother, O Jorgensen, 216 Harris Street, Pyrmont, New South Wales |
| Enlistment date | 25 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 15 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on 30 July 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 8 July 1919 |
