| Regimental number | 4691 |
| Place of birth | Denmark |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Baffle Creek,Rosedale, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Johannah Bulow, Baffle Creek,Rosedale, Queensland |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 17 March 1919 |
