| Regimental number | 5133 |
| Place of birth | Lollan Denmark |
| Religion | Church of England |
| Occupation | Seaman |
| Address | C/o Adelaide Steamship C/o Port, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs M Jorgensen, Bursa Station, Lollan, Renmark, South Australia |
| Enlistment date | 17 December 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 11 January 1918 |
| Miscellaneous details (Nominal Roll) | *Spelt Hans Chesteren Jorgensen on NR |
