| Regimental number | 21803 |
| Place of birth | Aarhus Denmark |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Fortune of War Hotel, George Streetm, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Uncle, C.M. Hensen, Hgerring, Denmark |
| Enlistment date | 3 November 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 7th Field Company Engineers |
| Fate | Returned to Australia 6 September 1919 |
