| Regimental number | 7047 |
| Place of birth | Bergen Norway |
| Religion | Church of England |
| Occupation | Sailor |
| Address | Burnie, Tasmania |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Mr 0 Monsen, Bergen, Norway |
| Enlistment date | 11 October 1916 |
| Date of enlistment from Nominal Roll | 4 October 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 21 July 1917 |
