| Regimental number | 7253 |
| Place of birth | Yarraville Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 42 College Street, Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs S Jorgensen, 42 College Street, Hawthorn, Victoria |
| Enlistment date | 18 December 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/24/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 22 September 1919 |