| Regimental number | 5416 |
| Place of birth | Maryborough Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 30 Robert Street, Spring Hill, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Miss I C Hansen c/o Mrs Pegg, Paris Street, West End Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Lutwyche Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
