| Regimental number | 3848 |
| Place of birth | Bendigo Victoria |
| Religion | Roman Catholic |
| Occupation | Groom |
| Address | 12 Albert Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M J Hansen, 12 Albert Street, Bendigo, Victoria |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 12 April 1919 |
