| Regimental number | 4187 |
| Place of birth | Adelaide South Australia |
| Religion | Baptist |
| Occupation | Plasterer |
| Address | Kew Robin Street, Semaphore, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs K Hanson, Robin Street, Semaphore, South Australia |
| Enlistment date | 15 June 1915 |
| Date of enlistment from Nominal Roll | 9 June 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 27 July 1917 |
