| Regimental number | 3398 |
| Religion | Congregational |
| Occupation | Motor mechanic |
| Address | Quarry Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, T J Jorgenson, 97 Hamlet Street, Quarry Hill, Victoria |
| Enlistment date | 12 February 1918 |
| Date of enlistment from Nominal Roll | 11 February 1918 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Australian Flying Corps, January 1918 Reinforcement |
| AWM Embarkation Roll number | 8/15/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 6 May 1919 |