| Regimental number | 1369 |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | GPO, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Camilla Johnson, Kron Prins, Gd 40 Christian Sand, Norway |
| Enlistment date | 30 November 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 2 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 4 May 1915 |
