| Regimental number | 1197 |
| Religion | Roman Catholic |
| Occupation | Summons clerk |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs B Hansen, 133 Wakefield Street, Adelaide, South Australia |
| Enlistment date | 2 November 1914 |
| Date of enlistment from Nominal Roll | 28 July 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 13 December 1915 |
