| Regimental number | 5801 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs J M Hansen, High Street, Charters Towers, Queensland |
| Enlistment date | 4 November 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 1 May 1919 |