| Regimental number | 1622 |
| Place of birth | Trondhjem Norway |
| Religion | Lutheran |
| Occupation | Miner |
| Address | Darwin, Northern Territory |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Jenny Moxness, c/o D A Moxness, Tronihjem, Norway |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 8/15/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Squadron, Australian Flying Corps |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
