| Regimental number | 4534 |
| Place of birth | N/A Denmark |
| Religion | Lutheran |
| Occupation | Fisherman |
| Address | Essex Street, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Brother, Mr P Johansen, Stubbekozier, Denmark |
| Enlistment date | 18 October 1915 |
| Date of enlistment from Nominal Roll | 13 January 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 4 May 1917 |
