| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Berringa, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, L Hansen, Berringa, Victoria |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
