| Regimental number | 3392 |
| Place of birth | Marrickville New South Wales |
| Religion | Congregational |
| Occupation | Carpenter |
| Address | School Parade, Marrickville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A Pedersen, School Parade, Marrickville, Sydney, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 8 April 1917 |
