| Regimental number | 1240 |
| Place of birth | Bundaberg Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Maren Sophie Jorgensen, Burnetts Heads Road, Bundaberg, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, D Company |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Company Quartermaster Sergeant |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
