| Regimental number | 2147 |
| Place of birth | Copenhagen Denmark |
| Religion | Methodist |
| Occupation | Sailor |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A M Andersen, Enghaveplads Park, Copenhagen, Denmark |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company June 1917, General Reinforcements |
| AWM Embarkation Roll number | 24/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
