| Regimental number | 2945 |
| Place of birth | Chewton Victoria |
| Religion | Congregational |
| Occupation | Baker |
| Address | 45 Fawkner Street, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs H Jorgensen, 140 Gladstone Street, Quarry Hill, Bendigo, Victoria |
| Enlistment date | 29 June 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 20 October 1918 |
