| Regimental number | 2173 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 37 Smith Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Miss Olga Hanson, 4 Davidson Street, Sydney, New South Wales |
| Enlistment date | 18 April 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/70/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on 11 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 3 July 1919 |
