| Regimental number | 2175 |
| Place of birth | Dostrup Denmark |
| Religion | Church of England |
| Occupation | Contractor |
| Address | 310 Wellington Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, Christian Kjeldsen, Dostrup, Denmark |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Killed in Action |
| Place of burial | Serre Road Cemetery No. 2 (Plot XVIII, Row B, Grave No. 15), France |
| Panel number, Roll of Honour, Australian War Memorial | 155 |