| Regimental number | 4507 |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | 1 Wood Street, Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs J Hansen, 1 Wood Street, Hawthorn, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
