| Regimental number | 1648 |
| Place of birth | Balmain New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Murwillumbah, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs J 0 Hansen c/o J F Rodgers, Pimlico, Richmond River, New South Wales |
| Enlistment date | 15 January 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 3rd Reinforcement |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 13 February 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 23 September 1918 |
