| Regimental number | 2428 |
| Place of birth | Bergen Norway |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 84 Halifax Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Alice Pedersen, 84 Halifax Street, Adelaide, South Australia |
| Enlistment date | 21 June 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on 21 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Discharged 25 October 1919 |
