| Regimental number | 2391 |
| Place of birth | Boggabri New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Tamworth PO, Tamworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs A Hansen, Dowls Lane, Tamworth, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 5 October 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 29 August 1918 |
