| Regimental number | 869 |
| Place of birth | Stockholm Sweden |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Rainbow Reach, Macleay River, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Carl Hagstrom, Lunos, Stockholm, Sweden |
| Enlistment date | 9 November 1916 |
| Rank on enlistment | Private |
| Unit name | Anzac Cyclist Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 12/1/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 21 April 1918 |
