| Regimental number | 1434 |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Kingaroy, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Andrew Jorgenson, Kingaroy, Queensland |
| Enlistment date | 9 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 4 October 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia 13 April 1919 |
