| Regimental number | 1386 |
| Place of birth | Jylland Denmark |
| Religion | Church of England |
| Occupation | Sailor |
| Address | c/o Wilson Bros. 313 Elizabeth Street, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 35 |
| Enlistment date | 24 July 1915 |
| Date of enlistment from Nominal Roll | 24 July 1915 |
| Rank on enlistment | TPR |
| Unit name | 3rd Light Horse Regiment, 10th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 9 September 1915 |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 23 September 1916 |
