| Regimental number | 6043 |
| Place of birth | Christiana Norway |
| Religion | Church of England |
| Occupation | Driver |
| Address | Moolee, near Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Miss R Jonsen, PO Christiana, Norway |
| Enlistment date | 24 April 1916 |
| Date of enlistment from Nominal Roll | 21 March 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on 1 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 1 April 1919 |