| Regimental number | 15754 |
| Place of birth | Baradeo Argentina |
| Religion | Church of England |
| Occupation | Rigger |
| Address | Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Stella Hansen, 17 Cowles Road, Mosman, Sydney, New South Wales |
| Enlistment date | 1 May 1916 |
| Date of enlistment from Nominal Roll | 6 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 31 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 25 August 1917 |
