| Regimental number | 1197 |
| Religion | Roman Catholic |
| Occupation | Pte |
| Address | Wakefield Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs B Hansen, Wakefield Street, Adelaide, South Australia |
| Enlistment date | 28 January 1915 |
| Date of enlistment from Nominal Roll | 28 July 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 1, Reinforcement 1 |
| AWM Embarkation Roll number | 26/70/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Hospital Ship A55 Kyarra on 5 December 1914 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 13 December 1915 |
| Miscellaneous details (Nominal Roll) | *Third entry first did not match |
