| Regimental number | 4132 |
| Place of birth | Hasings New Zealand |
| Religion | Church of England |
| Occupation | Enginedriver |
| Address | Corinthian Gold Mine, near Southern Cross, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Otto Hansen, Corinthian Gold Mine, near Southern Cross, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 7 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
