| Regimental number | 3363 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Christina Rasmussen, Gowrie Street, Toowoomba, Queensland |
| Enlistment date | 15 May 1917 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 20 May 1919 |