| Regimental number | 3123 |
| Place of birth | Beaudesert Queensland |
| Religion | Congregational |
| Occupation | Joiner |
| Address | Thorn Street, Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Ole Peter Larsen, Thorn Street, Ipswich, Queensland |
| Enlistment date | 9 September 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 7 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Regimental number from Nominal Roll | 3123A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 19 October 1918 |
