| Regimental number | 19804 |
| Place of birth | Stjodalen Norway |
| Religion | Church of England |
| Occupation | Farmer and carpenter |
| Address | Richmond River, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Matilda Johansen, Konorigan, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | August 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
