| Regimental number | 1964 |
| Place of birth | Christiana Norway |
| Religion | Presbyterian |
| Occupation | Railway packer |
| Address | Hesselberg, Christiana, Norway |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Miss Anna Pedersen, Hesselberg, Christiana, Norway |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Morea on |
| Regimental number from Nominal Roll | 1249 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Killed in Action |
| Place of burial | La Kreule Military Cemetery (Plot I, Row D, Grave No. 6), Hazebrouck, France |
| Panel number, Roll of Honour, Australian War Memorial | 100 |