| Regimental number | 4644 |
| Place of birth | Seymour Victoria |
| Religion | Methodist |
| Occupation | Butcher |
| Address | Savernake Station, Savernake, via Yarrawonga, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Father, C Hansen, Seymour, Victoria |
| Enlistment date | 27 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 17 October 1916 |
