| Regimental number | 4201 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Coal lumper |
| Address | 2 Argyle Place, Millers Point, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, 0 T Hansen, 2 Argyle Place, Millers Point, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Company Quartermaster Sergeant |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
