| Regimental number | 527 |
| Place of birth | Copenhagen Denmark |
| Religion | Lutheran |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs A Jorgensen, Copenhagen, Denmark |
| Enlistment date | 9 December 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/16/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on 2 June 1915 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on 16 June 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 18 July 1919 |
