| Regimental number | 4500 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Stratford, North Coast Line, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Miss A Knutsen, Christiana, Norway |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 12 July 1919 |