| Regimental number | 6380 |
| Place of birth | N/A Norway |
| Religion | Baptist |
| Occupation | Tent maker |
| Address | 121 Albert Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Larsen, Bergen, Norway |
| Enlistment date | 17 October 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 7 February 1919 |
