| Regimental number | 6340 |
| Place of birth | Yarraville Victoria |
| Religion | Church of England |
| Occupation | Machine assembler |
| Address | East Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Amelia Hansen, 134 Wittenoom Street, East Perth, Western Australia |
| Enlistment date | 20 October 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 19 April 1919 |
