| Regimental number | 1100 |
| Religion | Lutheran |
| Occupation | Sailor |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Elsa Mouritsen, Olum Station, Tylland, Denmark |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, D Company |
| AWM Embarkation Roll number | 23/39/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 60th Battalion |
| Fate | Effective abroad (still overseas) |