| Regimental number | 3793 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Barman |
| Address | 15 Somerset Place, Windsor, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs. J. Hansen, 15 Somerset Street, Windsor, Victoria |
| Enlistment date | 8 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/25/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Light Railway Operating Company |
| Fate | Returned to Australia 2 March 1919 |
