| Regimental number | 3512 |
| Place of birth | Trondhyem Norway |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Morgan, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Bertha Hansen, Morgan, South Australia |
| Enlistment date | 21 August 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 12 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 16 June 1919 |
