| Regimental number | 3422 |
| Place of birth | Zeeland Copenhagen Denmark |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | All Nations Hotel, Bayliss Street, Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Francisca Miller, Hovitzvey, 64 Copenhagen F., Denmark |
| Enlistment date | 9 January 1917 |
| Date of enlistment from Nominal Roll | 28 December 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 25 September 1919 |
