| Regimental number | 117 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Cessnock, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs M A L Hansen, O'Brien's Estate, Cessnock, New South Wales |
| Enlistment date | |
| Rank on enlistment | Warrant Officer (Class II) |
| Unit name | New South Wales Reinforcement 26 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
