| Regimental number | 3306 |
| Place of birth | N/A Denmark |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 46 |
| Next of kin | Nil |
| Enlistment date | 31 January 1917 |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/61/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 44th Battalion |
| Fate | Returned to Australia 1 November 1917 |
