| Regimental number | 507 |
| Place of birth | Rockhampton Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Woodend via Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Sarah Fredericksen, Woodend via Rockhampton, Queensland |
| Enlistment date | 4 September 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 7, Reinforcement 8 |
| AWM Embarkation Roll number | 24/12/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 13 July 1919 |
