| Regimental number | 50071 |
| Place of birth | Copenhagen Denmark |
| Religion | Church of England |
| Occupation | Steward |
| Address | c/o Mrs Houser, 155 Clarendon Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Brother, H Jorgensen, 19 Marnsdalsyej, Copenhagen, Denmark |
| Enlistment date | 5 February 1918 |
| Date of enlistment from Nominal Roll | 30 January 1918 |
| Rank on enlistment | Private |
| Unit name | 1st General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 21 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Effective abroad (still overseas) |
