| Regimental number | 3602 |
| Place of birth | Copenhagen Denmark |
| Religion | Presbyterian |
| Occupation | Farm labourer |
| Address | C/o Paul Vincent Klem, Toodyay, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs Lena Ostard Hollandesgate Street, No 11 Copenhagen, Denmark |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 32nd Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
