| Regimental number | 581 |
| Place of birth | Copenhagen Denmark |
| Religion | Church of England |
| Occupation | Miner |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | ..., ... |
| Enlistment date | 23 September 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, E Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 22 December 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st A SAL CPS |
| Fate | Returned to Australia 15 February 1918 |
