| Regimental number | 5539 |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | 15 Bent Street, Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Eleonora Athonsen, 15 Bent Street, Northcote, Victoria |
| Enlistment date | 8 May 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
