| Regimental number | 427 |
| Place of birth | Stratford Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Stratford, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Neils Jorgensen, Stratford, Victoria |
| Enlistment date | 18 September 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A10 Karroo on 11 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 30 August 1918 |
