| Regimental number | 4021 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 52 Palmer Street, Woolloomooloo, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs. H. Christafferson, Larvig, Norway |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Fate | No details of fate entered on Nominal Roll |