| Regimental number | 395 |
| Place of birth | N/A Denmark |
| Religion | Church of England |
| Occupation | Cane cutter |
| Address | Nambour, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Meta Martha Jorgensen, Nambour, Queensland |
| Enlistment date | 29 December 1915 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, B Company |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 10 April 1919 |
