| Regimental number | 10/2348 |
| Address | Wanganui East |
| Marital status | Single |
| Next of kin | Mother, Mrs Ellen Jorgensen, Mauriceville |
| Rank on embarkation | Sergeant |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Fifth |