| Regimental number | 21679 |
| Place of birth | Stavanger Norway |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Fortune of War Hotel, George Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, E. Andersen, Stevanger, Norway |
| Enlistment date | 3 November 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Returned to Australia 20 July 1919 |