| Regimental number | 4267 |
| Religion | Baptist |
| Occupation | Clerk |
| Address | 52 Moreland Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Johanson, Dory Portur, Aarhus, Denmark |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
