| Regimental number | 7999 |
| Place of birth | Holte Denmark |
| Religion | Methodist |
| Occupation | Sleeper carter and farmer |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs E Mathiasen, 64 Lake Street, Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 27th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board SS Canberra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Karrakatta Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
