| Regimental number | 6844 |
| Place of birth | Port Melbourne Victoria |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Kensington, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Ethel Mikkelsen, 81 Gower Street, Kensington, Victoria |
| Enlistment date | 22 January 1917 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia |
| Date of death | 7 January 1962 |
| Place of burial | Fawkner Cemetery |
