| Regimental number | 1980 |
| Place of birth | Glen Innes New South Wales |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Otto Juergens, Grey Stret, Glen Innes, New South Wales |
| Enlistment date | 15 February 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/50/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 8 September 1919 |