| Regimental number | 2289 |
| Place of birth | Lase Denmark |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs L M Berthelsen, Lase, Denmark |
| Enlistment date | 8 January 1916 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 7 February 1919 |
