| Regimental number | 4472 |
| Place of birth | Rosewood Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Booie via Kingary, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Peter Jorgensen, Booie via Kingaroy, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Acting Corporal |
| Unit name | 25th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Star of Victoria on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 26th Battalion |
| Promotions |
2nd Lieutenant Unit: Gen INF Reinf Promotion date: Lieutenant Unit: INF26 Promotion date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
