| Regimental number | 629 |
| Place of birth | St Kilda Victoria |
| Religion | Presbyterian |
| Occupation | Fireman |
| Address | Kensington, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Amelia Pettersson, 18 Tennyson Street, Kensington, Victoria |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | Railway Unit, Section 2 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 16th Australian Railway Operating Company |
| Fate | Effective abroad (still overseas) |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 95 Date: |