| Regimental number | 15306 |
| Occupation | Fitter |
| Next of kin | Father, Christian Jansen, Claude Road, Epsom, Auckland |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 9th Reinforcements to 1st Battalion, E Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 31 |