| Regimental number | 2998 |
| Place of birth | Ivenborg Denmark |
| Religion | Church of England |
| Occupation | Ship carpenter |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Mads Peter Hansen, Bernsterffniande, Corinth Fyn, Denmark |
| Enlistment date | 14 April 1916 |
| Date of enlistment from Nominal Roll | 13 April 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A41 Bakara on 4 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 21 July 1917 |
