| Regimental number | 3568 |
| Place of birth | Gympie Queensland |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Kilikivan, Kingaroy Line, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Jessie Jorgenson, Kilkivan, Kingaroy Line, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Albany Creek Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
