| Regimental number | 4807 |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 102 Margaret Street, Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J Hansen, 102 Margaret Street, Launceston, Tasmania |
| Enlistment date | 26 October 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 12 May 1919 |
