| Regimental number | 14849 |
| Place of birth | Geelong Vic |
| Religion | Methodist |
| Occupation | Driver |
| Address | Mornington, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Olsen, Queens Street, Mornington, Victoria |
| Enlistment date | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 19 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 11 May 1919 |