| Regimental number | 7095 |
| Place of birth | Copenhagen Denmark |
| Religion | Church of England |
| Occupation | Sailor |
| Address | Hindley Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Sophia Jorgensen, Asko, Denmark |
| Enlistment date | 16 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | 3rd Field Company Engineers, Reinforcement 16 |
| AWM Embarkation Roll number | 14/22/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 6th Field Company Engineers |
| Fate | Returned to Australia 1 July 1919 |
