| Regimental number | 20863 |
| Place of birth | Holsted Denmark |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Step-Mother, Mrs Christina Thompsen, Thompsen's Nunde, Holsted, Denmark |
| Enlistment date | 3 August 1917 |
| Rank on enlistment | Sapper |
| Unit name | October 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |