| Regimental number | 16 |
| Place of birth | Holstebro Denmark |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | c/o E Jacobsen, Ivanhoe Farm, Ayr, Lower Burdekin, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Inga Andersen, Holstelbro, Denmark |
| Enlistment date | 17 January 1915 |
| Date of enlistment from Nominal Roll | 17 January 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, A Company |
| AWM Embarkation Roll number | 23/42/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A60 Aeneas on 29 June 1915 |
| Regimental number from Nominal Roll | 3998 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 60th Battalion |
| Fate | Died of wounds 31 July 1916 |
