| Regimental number | 60040 |
| Place of birth | Horsens Denmark |
| Religion | Church of England |
| Occupation | Farmhand |
| Address | Geurie, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs J Themsen, Griffredsgade, 12 Horsens, Denmark |
| Enlistment date | 12 February 1918 |
| Date of enlistment from Nominal Roll | 11 February 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 15 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on 30 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Effective abroad (still overseas) |
