| Regimental number | 67945 |
| Place of birth | Ostersund Sweden |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | Barrington via Gloucester, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A Bergstrom, Osteround, Sweden |
| Enlistment date | 12 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 27 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |