| Regimental number | 7619 |
| Religion | Church of England |
| Occupation | Hospital assistant |
| Address | 87 Wattle Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Julia Hansen, 87 Wattle Street, Bendigo, Victoria |
| Previous military service | 67th Infantry |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 1st Light Horse Brigade, 1st Signal Troop - 16th Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Corps Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
