| Regimental number | 6783 |
| Place of birth | Sarpsborg Norway |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Birkenhead, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Brother, H Andersen, Sarpsborg, Norway |
| Enlistment date | 9 July 1917 |
| Date of enlistment from Nominal Roll | 9 July 1917 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/44/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 15 March 1917 |
