| Regimental number | 2264 |
| Place of birth | Glenferrie, Victoria |
| Religion | Congregational |
| Occupation | Horse driver |
| Address | Fremantle PO, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Emily Hansen, Matron, Womens Home, Fremantle, Western Australia |
| Enlistment date | 21 January 1916 |
| Date of enlistment from Nominal Roll | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 21 November 1916 |
