| Regimental number | 995A |
| Place of birth | Copenhagen Denmark |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | c/o Mrs N G Burnett, 465A Brunswick Street, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Friend, E Bartlett, Folkestone, Brunswick, New Farm, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/16/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A1 Hymettus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
