| Regimental number | 2221 |
| Place of birth | North Melbourne Victoria |
| Religion | Church of England |
| Occupation | Engineer |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Rubina Mikkelsen, Ormsby Neerin Road, East Caulfield Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Embarkation details | Unit embarked from |
| Rank from Nominal Roll | Sapper |
| Date of death | |
| Place of burial | Boxhill Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
