| Regimental number | 804 |
| Religion | Church of England |
| Occupation | Waiter |
| Address | 47 Drummond Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M Hanson, 27 Medland Street, Poplar, London, England |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, G Company |
| AWM Embarkation Roll number | 23/23/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A20 Hororata on 19 October 1914 |
| Fate | No details of fate entered on Nominal Roll |
