| Regimental number | 7728 |
| Place of birth | Trondeim Norway |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Goomalling, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, A Henriksen, Trojyn, Norway |
| Enlistment date | 23 February 1917 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 3 September 1919 |