| Regimental number | 6813 |
| Place of birth | Corrimal New South Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Georges Parade, Carlton, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mrs E A Hansen, 51 Rocky Point Road, Kogarah, New South Wales |
| Enlistment date | 9 June 1916 |
| Date of enlistment from Nominal Roll | 19 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Depot Unit of Supply |
| Fate | Returned to Australia 5 July 1919 |