| Regimental number | 3860 |
| Place of birth | Calding Denmark |
| Religion | Church of England |
| Occupation | Carrier |
| Address | 11 Barwise Street, North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Ellen Mikkelsen, 11 Barwise Street, North Melbourne, Victoria |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 31 August 1916 |
