| Regimental number | 7762 |
| Place of birth | Norway |
| Religion | Church of England |
| Occupation | Contractor |
| Address | Wickepin, Western Australia |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Friend, Jack Larson c/o C Coward, Wickepin, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
