| Regimental number | 3150 |
| Place of birth | Capetown South Africa |
| Religion | Church of England |
| Occupation | Cook |
| Address | Duntroon, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Jane Maud Hansen, Condamine Street, Manly, New South Wales |
| Enlistment date | 6 October 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 5 November 1917 |
