| Regimental number | 6810 |
| Place of birth | Cape Town South Africa |
| Religion | Church of England |
| Occupation | Cook |
| Address | Liverpool, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Florence Hansen, Scrivner Street, Liverpool, New South Wales |
| Enlistment date | 8 May 1917 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
