| Regimental number | 2963 |
| Place of birth | Denmark |
| Religion | Protestant |
| Occupation | Shearer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Friend, Mrs Annie Campbell, 24 Waterloo Street, Rozelle, New South Wales |
| Enlistment date | 13 February 1917 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements Camel Corps |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 23 December 1918 |