| Regimental number | 3002 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, John Hansen, West Kyogle, Richmond River, New South Wales |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A43 Barunga on 26 October 1916 |
| Regimental number from Nominal Roll | 3022 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 29 April 1919 |