| Regimental number | 3569 |
| Place of birth | Gympie Queensland |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, P Larsen, Frederick Street off Venner Street off Ipswich Road, Brisxbane, Queensland |
| Previous military service | 9th Infantry |
| Enlistment date | 1 May 1917 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/58/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Depot Unit of Supply |
| Fate | Returned to Australia 16 January 1919 |