| Regimental number | 58523 |
| Place of birth | Grimstad Norway |
| Religion | Church of England |
| Occupation | Sailmaker |
| Address | West Cowra, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Friend, M Grogan, West Cowra, New South Wales |
| Enlistment date | 20 May 1918 |
| Rank on enlistment | Private |
| Unit name | 1st to 15th (NSW) General Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board A40 Ceramic on 22 December 1914 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 19 June 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |