| Regimental number | 2290 |
| Place of birth | Melbourne Victoria |
| Occupation | Labourer |
| Address | Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | ..., Henry Hansen, 235 Queen Street, Bendigo, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
