| Regimental number | 2142 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | Newcastle, New South Wales |
| Marital status | Widower |
| Age at embarkation | 31 |
| Next of kin | Daughter, Sylvia Ethel Bridget Hansen, 32 Watt Street, Newcastle, New South Wales |
| Enlistment date | 18 September 1915 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 1 April 1919 |
