
| Regimental number | 458 |
| Place of birth | Holback Denmark |
| Religion | Congregational |
| Occupation | Engineer |
| Address | Smeaton, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Elsie Hansen, 10 The Avenue, Balaclava, Victoria |
| Enlistment date | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Australian Flying Corps, No 1 Squadron, Reinforcement 2 |
| AWM Embarkation Roll number | 8/4/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Squadron Australian Flying Corps |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 33 Date: |