| Regimental number | 6223 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Accountant |
| Address | Albury, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Mary J Jorgensen, 'St Cyr', Bartley Crescent,Wayville, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
