| Regimental number | 2348 |
| Place of birth | Bega New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 'Fairview', Bega, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Johanna Momsen, 'Fairview', Bega, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A25 Anglo Egyptian on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Northern Suburbs Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
