| Regimental number | 3641 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Bush worker |
| Address | Marysville via Healesville, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M Hansen, Marysville via Healesville, Victoria |
| Enlistment date | 15 January 1918 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/75/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on 7 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Effective abroad (still overseas) |
