| Regimental number | 891 |
| Place of birth | Yaamba Queensland |
| Religion | Church of England |
| Occupation | Station manager |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Laura Hansen, Clive Station, Marlborough, Queensland |
| Enlistment date | 24 February 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, D Company |
| AWM Embarkation Roll number | 23/58/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Fate | No details of fate entered on Nominal Roll |