| Regimental number | 5047 |
| Place of birth | Christenia Norway |
| Religion | Lutheran |
| Occupation | Seaman |
| Address | 57 Beach Street, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 42 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |