| Regimental number | 7495 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, N Jensen, Bowen Bridge Road, Brisbane, Queensland |
| Enlistment date | 14 April 1917 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/26/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 31 January 1918 |
