| Regimental number | 20355 |
| Occupation | Carpenter |
| Next of kin | Father, J K Jensen, Manilla Street, Dannevirke |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 16th Reinforcements, Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 62 Mokoia on |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 11 |